| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.81 | $162.81 | $260.79 | |
Anthem BCBS
| Facility | $243.20 | $469.38 | $47,453.00 | |
CareSource
| Facility | $141.47 | $180.32 | $208.07 | |
United
| Facility | $866.00 | $2,291.00 | $4,426.00 |