| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $3,801.89 | $5,623.41 | |
Anthem BCBS
| Facility | $117.49 | $117.49 | $229.09 | |
CareSource
| Facility | $112.20 | $125.89 | $131.83 | |
United
| Facility | $933.25 | $2,290.87 | $7,413.10 |