| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.08 | $145.32 | $4,846.00 | |
Anthem BCBS
| Facility | $11,040.00 | $62,599.32 | $95,079.57 | |
CareSource
| Facility | $113.68 | $144.88 | $167.19 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |