| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,280.34 | $7,629.00 | $10,492.00 | |
Anthem BCBS
| Facility | $55.84 | $121.43 | $169.55 | |
Anthem BCBS
| Professional | $18.67 | $21.96 | $24.41 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 | |
United
| Professional | $76.65 | $111.25 | $245.73 |