| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.05 | $158.08 | $4,846.00 | |
Anthem BCBS
| Facility | $141.19 | $272.52 | $10,030.00 | |
CareSource
| Facility | $95.41 | $121.60 | $140.31 | |
United
| Facility | $933.00 | $2,252.00 | $5,520.00 |