| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.60 | $860.00 | $10,152.00 | |
Anthem BCBS
| Facility | $4,014.00 | $8,584.00 | $11,253.00 | |
CareSource
| Facility | $166.36 | $228.33 | $263.39 | |
United
| Facility | $523.00 | $1,450.00 | $5,301.00 |