| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.61 | $5,194.00 | $10,492.00 | |
Aetna
| Professional | $655.61 | $655.61 | $655.61 | |
Anthem BCBS
| Professional | $2.85 | $3.81 | $4.19 | |
United
| Facility | $3,414.00 | $5,950.00 | $9,338.00 |