| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.03 | $643.16 | $2,474.16 | |
Aetna
| Facility | 52 | $126.38 | $305.07 | $579.69 |
Anthem BCBS
| Facility | $1,449.90 | $1,611.00 | $3,700.00 | |
United
| Facility | $8,611.00 | $8,611.00 | $8,611.00 |