| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $4,897.79 | $10,471.29 | |
Aetna
| Professional | $1,202.26 | $1,479.11 | $1,513.56 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
United
| Facility | $1,288.25 | $3,890.45 | $6,760.83 |