| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.57 | $101.57 | $120.42 | |
Anthem BCBS
| Facility | $125.20 | $241.64 | $47,453.00 | |
CareSource
| Facility | $88.36 | $112.62 | $129.94 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |