| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.60 | $4,846.00 | $11,093.00 | |
Anthem BCBS
| Facility | $330.60 | $330.60 | $638.05 | |
CareSource
| Facility | $217.31 | $276.97 | $319.58 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |