| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11,481.54 | $11,481.54 | $11,481.54 | |
Anthem BCBS
| Facility | $11,748.98 | $14,791.08 | $15,848.93 | |
Anthem BCBS
| Professional | $0.02 | $6.92 | $134.90 | |
United
| Facility | $3,890.45 | $7,413.10 | $14,125.38 |