| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $4,897.79 | $11,220.18 | |
Anthem BCBS
| Facility | $28,183.83 | $56,234.13 | $97,723.72 | |
CareSource
| Facility | $331.13 | $354.81 | $389.05 | |
United
| Facility | $8,317.64 | $18,197.01 | $24,547.09 |