| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,221.00 | $4,467.00 | $6,915.00 | |
Aetna
| Professional | $126.00 | $126.00 | $600.00 | |
Anthem BCBS
| Facility | $552.38 | $2,116.69 | $4,221.47 | |
Anthem BCBS
| Professional | $148.22 | $167.44 | $167.44 | |
United
| Facility | $77.00 | $866.00 | $2,665.00 |