| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.88 | $908.78 | $5,634.00 | |
Anthem BCBS
| Facility | $226.10 | $226.10 | $436.37 | |
CareSource
| Facility | $141.91 | $204.35 | $310.52 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |