| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.28 | $341.55 | $5,634.00 | |
Anthem BCBS
| Facility | $125.60 | $125.60 | $242.41 | |
CareSource
| Facility | $131.13 | $167.14 | $227.64 | |
United
| Facility | $866.00 | $2,291.00 | $4,426.00 |