| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,801.89 | $14,454.40 | $14,454.40 | |
Aetna
| Professional | $3,801.89 | $7,943.28 | $7,943.28 | |
Anthem BCBS
| Professional | $0.03 | $9.55 | $11.48 | |
United
| Professional | $50.12 | $50.12 | $50.12 |