| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $167.11 | $183.35 | $4,846.00 | |
Anthem BCBS
| Facility | $5,091.00 | $10,577.42 | $18,643.75 | |
CareSource
| Facility | $138.58 | $176.62 | $206.10 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |