| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $656.18 | $5,370.40 | $9,583.00 | |
Aetna
| Facility | 54 | $334.43 | $444.95 | $492.14 |
Anthem BCBS
| Facility | $7,824.00 | $8,848.00 | $11,797.00 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |