| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,331.21 | $11,351.00 | |
Anthem BCBS
| Facility | $10,334.70 | $11,483.00 | $21,862.00 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $4,335.00 |