| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $323.07 | $7,629.00 | $10,492.00 | |
Aetna
| Professional | $272.51 | $323.07 | $323.07 | |
Anthem BCBS
| Facility | $8,873.00 | $9,678.00 | $12,904.00 | |
Anthem BCBS
| Professional | $174.02 | $295.58 | $412.57 | |
United
| Facility | $3,275.00 | $6,137.00 | $16,193.00 | |
United
| Professional | $285.20 | $477.56 | $740.17 |