| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.28 | $2,318.00 | $7,277.31 | |
Anthem BCBS
| Facility | $1,804.00 | $4,417.00 | $7,761.00 | |
CareSource
| Facility | $90.69 | $117.90 | $136.04 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |