| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,852.49 | $4,564.80 | $6,915.00 | |
Aetna
| Professional | $308.00 | $616.00 | $7,400.40 | |
Anthem BCBS
| Facility | $776.14 | $4,528.54 | $8,135.37 | |
United
| Facility | $772.00 | $2,360.00 | $4,066.00 |