| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.38 | $1,598.00 | $9,550.00 | |
Anthem BCBS
| Facility | $3,278.00 | $5,484.93 | $8,240.00 | |
CareSource
| Facility | $116.95 | $154.10 | $247.67 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |