| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.91 | $910.06 | $5,634.00 | |
Anthem BCBS
| Facility | $200.30 | $200.30 | $386.58 | |
CareSource
| Facility | $114.00 | $145.29 | $938.93 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |