| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.09 | $4,897.79 | $11,220.18 | |
Anthem BCBS
| Facility | $9,772.37 | $25,703.96 | $32,359.37 | |
CareSource
| Facility | $281.84 | $295.12 | $331.13 | |
United
| Facility | $4,466.84 | $9,549.93 | $18,197.01 |