| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.15 | $2,884.03 | $5,888.44 | |
Aetna
| Professional | $158.49 | $229.09 | $281.84 | |
Anthem BCBS
| Professional | $138.04 | $257.04 | $380.19 | |
United
| Facility | $199.53 | $1,288.25 | $2,041.74 | |
United
| Professional | $204.17 | $275.42 | $426.58 |