| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.64 | $3,500.00 | $6,008.48 | |
Anthem BCBS
| Facility | $53.99 | $53.99 | $469.57 | |
CareSource
| Facility | $198.04 | $257.45 | $297.06 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |