| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.97 | $47.97 | $78.98 | |
Anthem BCBS
| Facility | $60.47 | $7,155.00 | $14,621.00 | |
CareSource
| Facility | $41.34 | $52.69 | $60.80 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |