| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.41 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $93.75 | $93.75 | $180.94 | |
CareSource
| Facility | $92.82 | $120.67 | $139.22 | |
United
| Facility | $899.00 | $2,291.00 | $4,426.00 |