| 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 | $2,575.00 | $24,214.00 | $47,628.00 | |
Anthem BCBS
| Professional | $110.88 | $123.20 | $123.20 | |
United
| Facility | $3,364.00 | $6,094.00 | $10,413.00 |