| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.48 | $1,854.00 | $16,042.00 | |
Anthem BCBS
| Facility | $3,650.00 | $32,251.00 | $57,499.79 | |
CareSource
| Facility | $225.73 | $287.69 | $331.95 | |
United
| Facility | $4,699.00 | $10,000.00 | $15,750.00 |