| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.81 | $2,318.00 | $5,634.00 | |
Anthem BCBS
| Facility | $1,153.00 | $5,848.00 | $8,388.00 | |
CareSource
| Facility | $79.59 | $103.47 | $119.39 | |
United
| Facility | $1,638.00 | $2,854.00 | $4,271.00 |