| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $249.37 | $293.37 | $4,846.00 | |
Anthem BCBS
| Facility | $288.30 | $556.41 | $47,221.00 | |
CareSource
| Facility | $215.28 | $274.38 | $316.58 | |
United
| Facility | $1,638.00 | $2,854.00 | $4,271.00 |