| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.30 | $196.09 | $4,846.00 | |
Anthem BCBS
| Facility | $3,278.00 | $5,434.68 | $8,063.00 | |
CareSource
| Facility | $75.50 | $96.23 | $111.03 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |