| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.73 | $538.46 | $3,259.20 | |
Anthem BCBS
| Facility | $202.13 | $390.11 | $47,221.00 | |
CareSource
| Facility | $169.71 | $216.29 | $401.81 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |