| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,183.00 | $4,450.00 | $8,031.00 | |
Aetna
| Professional | $283.63 | $336.25 | $336.25 | |
Anthem BCBS
| Facility | $7,824.00 | $8,848.00 | $11,797.00 | |
Anthem BCBS
| Professional | $156.18 | $258.50 | $309.58 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 | |
United
| Professional | $294.52 | $463.70 | $851.89 |