| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,013.00 | $7,521.00 | $37,155.00 | |
Aetna
| Facility | 53 | $169.83 | $169.83 | $192.86 |
Anthem BCBS
| Facility | $12,098.00 | $29,551.00 | $80,690.00 | |
United
| Facility | $7,419.00 | $11,674.00 | $35,418.00 |