| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $671.02 | $2,318.00 | $10,985.00 | |
Anthem BCBS
| Facility | $3,581.00 | $34,954.50 | $49,433.26 | |
CareSource
| Facility | $656.52 | $853.48 | $984.78 | |
United
| Facility | $5,058.00 | $11,318.00 | $17,416.00 |