| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.38 | $824.00 | $5,634.00 | |
Anthem BCBS
| Facility | $118.32 | $118.32 | $228.36 | |
CareSource
| Facility | $111.76 | $147.27 | $236.69 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |