| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.28 | $269.69 | $4,846.00 | |
Anthem BCBS
| Facility | $1,603.32 | $2,318.00 | $13,810.27 | |
CareSource
| Facility | $162.77 | $207.45 | $239.37 | |
United
| Facility | $1,987.00 | $5,735.00 | $10,926.00 |