| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,183.00 | $4,450.00 | $8,031.00 | |
Aetna
| Facility | 52 | $725.31 | $725.31 | $758.71 |
Anthem BCBS
| Facility | $4,734.00 | $6,273.00 | $16,131.00 | |
United
| Facility | $6,763.00 | $10,879.00 | $17,808.00 |