| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,592.00 | $5,063.00 | $9,488.00 | |
Aetna
| Professional | $4,592.00 | $5,063.00 | $7,631.00 | |
Anthem BCBS
| Facility | $7,875.00 | $7,875.00 | $7,875.00 | |
United
| Facility | $353.00 | $1,580.00 | $2,665.00 |