| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,635.51 | $9,859.00 | |
Aetna
| Facility | 52 | $608.83 | $1,317.76 | $1,317.76 |
Anthem BCBS
| Facility | $5,299.00 | $14,347.98 | $25,014.19 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 |