| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $2,344.23 | $14,125.38 | |
Anthem BCBS
| Facility | $22,908.68 | $47,863.01 | $97,723.72 | |
CareSource
| Facility | $446.68 | $478.63 | $524.81 | |
United
| Facility | $9,120.11 | $17,378.01 | $26,302.68 |