| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.52 | $118.52 | $194.93 | |
Anthem BCBS
| Facility | $1,153.00 | $5,790.87 | $8,240.00 | |
CareSource
| Facility | $102.94 | $138.41 | $161.47 | |
United
| Facility | $2,400.00 | $3,870.00 | $5,490.00 |