| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $646.26 | $1,660.89 | $10,985.00 | |
Anthem BCBS
| Facility | $3,581.00 | $34,954.50 | $49,433.26 | |
CareSource
| Facility | $632.44 | $822.17 | $948.66 | |
United
| Facility | $5,058.00 | $12,330.00 | $17,416.00 |