| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.06 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $1,153.00 | $5,790.87 | $8,240.00 | |
CareSource
| Facility | $63.59 | $82.31 | $93.51 | |
United
| Facility | $2,400.00 | $3,870.00 | $5,490.00 |