| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.03 | $7,629.00 | $10,492.00 | |
Aetna
| Professional | $347.55 | $412.03 | $412.03 | |
Anthem BCBS
| Facility | $8,873.00 | $9,678.00 | $12,904.00 | |
Anthem BCBS
| Professional | $304.27 | $590.57 | $824.31 | |
United
| Facility | $3,275.00 | $6,137.00 | $16,193.00 | |
United
| Professional | $363.73 | $609.03 | $943.94 |