| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $4,897.79 | $10,471.29 | |
Aetna
| Professional | $288.40 | $288.40 | $288.40 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
United
| Facility | $1,905.46 | $4,570.88 | $9,332.54 |