| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,133.00 | $5,503.00 | $10,651.00 | |
Aetna
| Professional | $2,551.00 | $5,503.00 | $9,872.00 | |
Anthem BCBS
| Facility | $1,974.00 | $2,971.00 | $7,022.00 | |
United
| Facility | $1,361.00 | $2,537.00 | $3,847.00 |