| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.10 | $122.85 | $3,927.84 | |
Anthem BCBS
| Facility | $144.29 | $8,007.20 | $13,500.00 | |
CareSource
| Facility | $90.15 | $114.89 | $132.57 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |