| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,150.00 | $4,396.00 | $10,300.00 | |
Aetna
| Professional | $3,959.00 | $4,473.00 | $10,300.00 | |
Anthem BCBS
| Facility | $446.00 | $446.00 | $446.00 | |
United
| Facility | $200.00 | $1,427.00 | $1,998.00 |