| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.82 | $265.35 | $5,634.00 | |
Anthem BCBS
| Facility | $1,365.00 | $3,548.00 | $4,847.00 | |
CareSource
| Facility | $79.92 | $116.42 | $136.43 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |