| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.12 | $1,489.48 | $5,634.00 | |
Anthem BCBS
| Facility | $195.90 | $30,207.00 | $50,842.00 | |
CareSource
| Facility | $192.64 | $277.41 | $1,542.42 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,649.00 |