| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,383.34 | $8,956.00 | $11,627.00 | |
Aetna
| Professional | $655.61 | $1,383.34 | $1,383.34 | |
Anthem BCBS
| Professional | $6.68 | $6.68 | $6.68 | |
United
| Facility | $1,689.00 | $2,499.00 | $4,951.00 |