| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.27 | $3,500.00 | $18,811.09 | |
Aetna
| Professional | $912.27 | $912.27 | $912.27 | |
Anthem BCBS
| Facility | $4,097.10 | $27,462.00 | $56,650.00 | |
United
| Facility | $8,850.00 | $15,855.00 | $28,128.00 |