| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.17 | $191.90 | $4,846.00 | |
Anthem BCBS
| Facility | $4,800.00 | $11,653.47 | $15,911.14 | |
CareSource
| Facility | $151.90 | $193.60 | $223.38 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |