| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,454.29 | $7,907.31 | $11,356.00 | |
Aetna
| Facility | 54 | $922.46 | $922.46 | $1,090.72 |
Anthem BCBS
| Facility | $2,555.00 | $8,217.00 | $11,908.00 | |
United
| Facility | $4,565.00 | $7,010.00 | $11,152.00 |