| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,722.42 | $8,302.68 | $15,171.00 | |
Anthem BCBS
| Facility | $9,920.00 | $11,936.00 | $15,915.00 | |
Anthem BCBS
| Professional | $813.00 | $1,016.26 | $2,151.94 | |
United
| Facility | $3,275.00 | $6,137.00 | $16,193.00 |