| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.06 | $171.37 | $4,846.00 | |
Anthem BCBS
| Facility | $2,763.10 | $4,508.97 | $7,747.00 | |
CareSource
| Facility | $125.27 | $159.65 | $186.95 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |