| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,375.00 | $2,556.00 | $5,923.00 | |
Aetna
| Professional | $104.34 | $213.87 | $283.47 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $46.07 | $57.59 | $314.57 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $205.20 | $259.24 | $430.92 |