| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,144.00 | $3,189.00 | $8,734.00 | |
Aetna
| Professional | $387.00 | $2,568.00 | $2,644.80 | |
Anthem BCBS
| Facility | $2,285.00 | $4,974.00 | $26,120.00 | |
United
| Facility | $10,244.00 | $13,938.00 | $22,505.00 |