| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.35 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $112.12 | $112.12 | $216.39 | |
CareSource
| Facility | $110.15 | $143.19 | $165.23 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |