| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.88 | $986.37 | $5,634.00 | |
Anthem BCBS
| Facility | $264.50 | $264.50 | $510.49 | |
CareSource
| Facility | $162.86 | $234.53 | $356.37 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |