| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $5,341.18 | $5,341.18 | |
Aetna
| Facility | 52 | $1,336.16 | $2,670.59 | $2,670.59 |
Anthem BCBS
| Facility | $8,512.20 | $16,774.39 | $28,708.24 | |
United
| Facility | $972.00 | $4,574.00 | $11,155.00 |