| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $7,052.13 | $25,373.25 | |
Aetna
| Facility | 52 | $956.41 | $3,526.07 | $3,526.07 |
Anthem BCBS
| Facility | $8,992.79 | $9,992.00 | $19,050.00 | |
United
| Facility | $12,629.00 | $12,629.00 | $12,629.00 |