| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.77 | $177.77 | $284.75 | |
Anthem BCBS
| Facility | $215.50 | $415.92 | $47,453.00 | |
CareSource
| Facility | $154.58 | $197.02 | $227.33 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |