| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $4,466.84 | $7,413.10 | |
Aetna
| Professional | $3,019.95 | $4,570.88 | $7,585.78 | |
Anthem BCBS
| Professional | $147.91 | $162.18 | $162.18 | |
United
| Facility | $354.81 | $1,513.56 | $2,511.89 |