| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $4,897.79 | $16,218.10 | |
Anthem BCBS
| Facility | $302.00 | $302.00 | $575.44 | |
CareSource
| Facility | $199.53 | $223.87 | $251.19 | |
United
| Facility | $933.25 | $2,290.87 | $7,413.10 |