| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.23 | $506.65 | $7,212.00 | |
Anthem BCBS
| Facility | $82.18 | $82.18 | $158.61 | |
CareSource
| Facility | $68.95 | $89.65 | $425.55 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |