| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.01 | $5,128.61 | $56,234.13 | |
Aetna
| Professional | $912.01 | $912.01 | $16,595.87 | |
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 | $1,584.89 | $14,125.38 | $33,113.11 |