| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,814.00 | $5,048.00 | $8,920.00 | |
Aetna
| Professional | $532.17 | $532.17 | $3,226.00 | |
Anthem BCBS
| Facility | $1,735.00 | $2,390.00 | $2,954.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $8.01 | |
Medcost
| Facility | $532.17 | $564.11 | $798.27 | |
United
| Facility | $296.00 | $1,045.00 | $2,364.00 |