| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,221.00 | $4,467.00 | $6,915.00 | |
Aetna
| Professional | $2,438.00 | $3,817.00 | $6,915.00 | |
Anthem BCBS
| Professional | $149.62 | $162.78 | $162.78 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |