| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.56 | $4,908.03 | $10,492.00 | |
Aetna
| Professional | $287.56 | $287.56 | $287.56 | |
Anthem BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
United
| Facility | $1,849.00 | $4,647.00 | $9,338.00 |