| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.03 | $275.94 | $5,634.00 | |
Anthem BCBS
| Facility | $74.09 | $74.09 | $143.01 | |
CareSource
| Facility | $70.65 | $102.91 | $140.97 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |