| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $370.20 | $2,472.00 | $17,225.00 | |
Anthem BCBS
| Facility | $3,650.00 | $32,251.00 | $57,499.79 | |
CareSource
| Facility | $307.14 | $336.26 | $361.35 | |
United
| Facility | $13,030.00 | $19,133.00 | $25,265.00 |