| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,008.00 | $5,041.00 | $10,651.00 | |
Aetna
| Professional | $2,551.00 | $5,428.00 | $9,872.00 | |
Anthem BCBS
| Facility | $2,285.00 | $4,974.00 | $26,120.00 | |
United
| Facility | $1,292.00 | $8,535.00 | $12,740.00 |