| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,846.00 | $17,225.00 | |
Aetna
| Professional | $13,753.37 | $13,753.37 | $13,753.37 | |
Anthem BCBS
| Facility | $2,575.00 | $24,214.00 | $47,628.00 | |
United
| Facility | $3,932.00 | $8,582.00 | $12,569.00 |