| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $4,677.35 | $8,511.38 | |
Aetna
| Professional | $53.70 | $75.86 | $95.50 | |
Anthem BCBS
| Professional | $165.96 | $251.19 | $549.54 | |
United
| Facility | $1,288.25 | $3,467.37 | $6,760.83 | |
United
| Professional | $70.79 | $120.23 | $223.87 |