| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $2,089.30 | $5,623.41 | |
Anthem BCBS
| Facility | $257.04 | $257.04 | $501.19 | |
CareSource
| Facility | $173.78 | $177.83 | $204.17 | |
United
| Facility | $933.25 | $2,290.87 | $7,413.10 |