| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.98 | $1,386.00 | $5,634.00 | |
Anthem BCBS
| Facility | $138.96 | $138.96 | $268.19 | |
CareSource
| Facility | $69.43 | $91.89 | $102.11 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |