| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $911.00 | $1,713.00 | $4,473.00 | |
Aetna
| Professional | $208.43 | $340.94 | $374.47 | |
Anthem BCBS
| Facility | $630.00 | $630.00 | $630.00 | |
Anthem BCBS
| Professional | $135.28 | $169.10 | $461.72 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 | |
United
| Professional | $296.25 | $345.27 | $568.89 |