| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.39 | $731.00 | $7,212.00 | |
Anthem BCBS
| Facility | $88.98 | $88.98 | $171.73 | |
CareSource
| Facility | $44.70 | $56.97 | $80.47 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |