| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104,712.85 | $147,910.84 | $229,086.77 | |
Anthem BCBS
| Facility | $87,096.36 | $125,892.54 | $199,526.23 | |
SummaCare
| Facility | $61,659.50 | $97,723.72 | $165,958.69 | |
United
| Facility | $10,471.29 | $162,181.01 | $223,872.11 |