| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.88 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $856.00 | $4,320.00 | $9,270.00 | |
CareSource
| Facility | $130.32 | $166.09 | $191.64 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |