| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.61 | $5,063.00 | $7,631.00 | |
Aetna
| Professional | $655.61 | $655.61 | $655.61 | |
Anthem BCBS
| Professional | $5.67 | $6.68 | $6.68 | |
United
| Facility | $1,036.00 | $3,250.00 | $5,272.00 |