| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.23 | $2,318.00 | $16,042.00 | |
Anthem BCBS
| Facility | $298.80 | $298.80 | $576.67 | |
CareSource
| Facility | $205.40 | $281.92 | $422.88 | |
United
| Facility | $933.00 | $2,252.00 | $5,520.00 |