| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,305.00 | $7,521.00 | $9,583.00 | |
Anthem BCBS
| Facility | $9,920.00 | $11,936.00 | $15,915.00 | |
Anthem BCBS
| Professional | $506.17 | $2,012.34 | $3,686.15 | |
United
| Facility | $3,275.00 | $6,137.00 | $16,193.00 |