| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $787.00 | $6,125.00 | $10,647.00 | |
Aetna
| Professional | $16,737.61 | $16,737.61 | $16,737.61 | |
Anthem BCBS
| Facility | $4,755.00 | $5,350.00 | $5,944.00 | |
United
| Facility | $1,572.00 | $10,917.00 | $31,320.00 |