| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.40 | $1,568.83 | $7,417.65 | |
Aetna
| Facility | 52 | $160.12 | $388.13 | $1,200.91 |
Anthem BCBS
| Facility | $3,302.10 | $3,669.21 | $6,000.00 | |
United
| Facility | $9,949.00 | $9,949.00 | $9,949.00 |