| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $9,549.93 | $34,673.69 | |
Aetna
| Professional | $912.01 | $912.01 | $1,380.38 | |
Anthem BCBS
| Facility | $18,197.01 | $41,686.94 | $97,723.72 | |
Anthem BCBS
| Professional | $4.57 | $4.57 | $4.57 | |
United
| Facility | $8,912.51 | $16,982.44 | $24,547.09 |