| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.42 | $311.27 | $7,212.00 | |
Anthem BCBS
| Facility | $67.19 | $67.19 | $129.68 | |
CareSource
| Facility | $55.86 | $83.79 | $123.21 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |