| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,466.49 | $5,194.00 | $10,492.00 | |
Aetna
| Professional | $1,466.49 | $1,466.49 | $1,466.49 | |
Anthem BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
United
| Facility | $1,347.00 | $3,978.00 | $6,832.00 |