| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.00 | $3,107.00 | $13,304.00 | |
Aetna
| Professional | $13,753.37 | $13,753.37 | $13,753.37 | |
Anthem BCBS
| Facility | $4,755.00 | $5,350.00 | $5,944.00 | |
United
| Facility | $739.00 | $3,853.00 | $8,582.00 |