| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.43 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $58.85 | $58.85 | $113.58 | |
CareSource
| Facility | $56.85 | $73.91 | $85.28 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |