| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,678.40 | $1,783.30 | $2,098.00 | |
Anthem BCBS
| Facility | $6,324.15 | $17,491.23 | $22,424.66 | |
Martin's Point
| Facility | $2,098.00 | $2,098.00 | $2,098.00 | |
United
| Facility | $13,884.00 | $13,884.00 | $13,884.00 |