| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,013.00 | $7,521.00 | $10,492.00 | |
Aetna
| Facility | 52 | $662.62 | $662.62 | $811.08 |
Anthem BCBS
| Facility | $12,905.00 | $39,491.00 | $47,360.00 | |
United
| Facility | $6,763.00 | $10,879.00 | $17,808.00 |