| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $530.97 | $4,722.42 | $8,031.00 | |
Aetna
| Facility | 52 | $133.54 | $137.15 | $229.41 |
Anthem BCBS
| Facility | $2,826.00 | $4,945.58 | $10,000.00 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 |