| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.27 | $3,627.00 | $56,186.14 | |
Aetna
| Professional | $912.27 | $912.27 | $16,537.27 | |
Anthem BCBS
| Facility | $16,584.00 | $25,962.00 | $33,917.00 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
United
| Facility | $1,600.00 | $13,184.00 | $33,203.00 |