| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $2,818.38 | $8,511.38 | |
Aetna
| Professional | $691.83 | $691.83 | $23,988.33 | |
Anthem BCBS
| Facility | $21,379.62 | $28,183.83 | $33,884.42 | |
Anthem BCBS
| Professional | $3.98 | $3.98 | $3.98 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Facility | $707.95 | $7,244.36 | $33,113.11 |