| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56,234.13 | $77,624.71 | $123,026.88 | |
Anthem BCBS
| Facility | $45,708.82 | $66,069.34 | $102,329.30 | |
SummaCare
| Facility | $32,359.37 | $51,286.14 | $87,096.36 | |
United
| Facility | $8,709.64 | $87,096.36 | $117,489.76 |