| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.71 | $4,084.31 | $6,160.31 | |
Anthem BCBS
| Facility | $71.98 | $71.98 | $528.49 | |
CareSource
| Facility | $223.09 | $278.86 | $334.64 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |