| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,074.00 | $4,280.34 | $8,031.00 | |
Aetna
| Professional | $36.00 | $36.00 | $36.00 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
United
| Facility | $1,347.00 | $3,983.00 | $6,832.00 |