| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.46 | $4,846.00 | $11,153.67 | |
Anthem BCBS
| Facility | $166.00 | $166.00 | $320.38 | |
CareSource
| Facility | $95.40 | $124.02 | $143.10 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |