| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $596.85 | $2,472.00 | $45,178.00 | |
Anthem BCBS
| Facility | $2,451.00 | $19,583.00 | $39,182.00 | |
CareSource
| Facility | $511.70 | $677.25 | $1,498.32 | |
United
| Facility | $5,500.00 | $17,416.00 | $45,158.00 |