| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.27 | $543.00 | $5,634.00 | |
Anthem BCBS
| Facility | $856.00 | $4,320.00 | $8,230.00 | |
CareSource
| Facility | $61.80 | $78.77 | $117.45 | |
United
| Facility | $1,638.00 | $2,854.00 | $4,271.00 |