| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $406.92 | $7,629.00 | $10,492.00 | |
Aetna
| Professional | $343.24 | $406.92 | $406.92 | |
Anthem BCBS
| Facility | $12,098.00 | $12,905.00 | $17,206.00 | |
Anthem BCBS
| Professional | $315.23 | $527.16 | $684.98 | |
United
| Professional | $318.23 | $526.48 | $932.27 |