| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,375.00 | $2,556.00 | $5,923.00 | |
Aetna
| Professional | $163.19 | $329.70 | $490.47 | |
Anthem BCBS
| Facility | $333.00 | $333.00 | $333.00 | |
Anthem BCBS
| Professional | $55.28 | $69.11 | $544.86 | |
United
| Facility | $252.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $370.55 | $441.70 | $745.29 |