| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,399.57 | $11,399.57 | $11,399.57 | |
Anthem BCBS
| Facility | $2,226.13 | $6,105.48 | $13,137.87 | |
Anthem BCBS
| Professional | $11.55 | $38.50 | $38.50 | |
United
| Facility | $1,200.00 | $4,826.00 | $7,889.00 |