| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.28 | $1,386.00 | $4,846.00 | |
Anthem BCBS
| Facility | $6,085.00 | $29,604.06 | $40,739.30 | |
CareSource
| Facility | $652.28 | $831.34 | $959.24 | |
United
| Facility | $5,431.00 | $12,296.00 | $17,380.00 |