| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.07 | $3,467.37 | $37,153.52 | |
Anthem BCBS
| Facility | $16,982.44 | $40,738.03 | $63,095.73 | |
CareSource
| Facility | $707.95 | $776.25 | $831.76 | |
United
| Facility | $4,466.84 | $10,000.00 | $15,488.17 |