| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $749.43 | $1,598.00 | $9,550.00 | |
Anthem BCBS
| Facility | $11,040.00 | $52,757.13 | $76,062.67 | |
CareSource
| Facility | $650.96 | $829.66 | $957.30 | |
United
| Facility | $1,403.00 | $5,242.00 | $10,843.00 |