| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,467.00 | $5,063.00 | $9,488.00 | |
Aetna
| Professional | $4,592.00 | $5,063.00 | $7,631.00 | |
Anthem BCBS
| Facility | $759.49 | $2,152.57 | $4,143.39 | |
United
| Facility | $772.00 | $2,360.00 | $4,066.00 |