| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.38 | $919.15 | $6,067.00 | |
Aetna
| Facility | 52 | $209.28 | $209.28 | $1,107.52 |
Anthem BCBS
| Facility | $3,302.10 | $3,669.21 | $6,000.00 | |
United
| Facility | $9,565.00 | $9,565.00 | $9,565.00 |