| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.24 | $215.44 | $4,846.00 | |
Anthem BCBS
| Facility | $1,614.00 | $9,200.00 | $18,942.00 | |
CareSource
| Facility | $160.41 | $204.45 | $235.91 | |
United
| Facility | $1,403.00 | $5,660.00 | $11,929.00 |