| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $5,297.00 | $8,031.00 | |
Anthem BCBS
| Facility | $8,873.00 | $9,678.00 | $12,904.00 | |
Anthem BCBS
| Professional | $336.49 | $810.77 | $1,098.71 | |
United
| Facility | $5,325.00 | $8,250.00 | $11,880.00 |