| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.78 | $408.07 | $4,846.00 | |
Anthem BCBS
| Facility | $3,027.84 | $5,423.37 | $7,747.00 | |
CareSource
| Facility | $152.75 | $198.58 | $229.13 | |
United
| Facility | $1,917.00 | $5,660.00 | $10,926.00 |