| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $740.17 | $9,859.00 | |
Aetna
| Facility | 50 | $1,222.30 | $2,509.30 | $3,268.73 |
Anthem BCBS
| Facility | $3,302.10 | $3,669.21 | $6,000.00 | |
United
| Facility | $9,565.00 | $9,565.00 | $9,565.00 |