| 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 | $8,873.00 | $9,678.00 | $12,904.00 | |
Anthem BCBS
| Professional | $417.21 | $972.68 | $1,295.26 | |
United
| Facility | $8,706.00 | $11,710.00 | $21,600.00 |