| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.06 | $824.00 | $5,634.00 | |
Anthem BCBS
| Facility | $4,800.00 | $11,653.47 | $15,911.14 | |
CareSource
| Facility | $29.91 | $38.11 | $43.98 | |
United
| Facility | $9,619.00 | $16,546.00 | $34,320.00 |