| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,507.00 | $5,730.00 | $8,155.00 | |
Aetna
| Professional | $6,760.00 | $34,906.24 | $34,906.24 | |
Anthem BCBS
| Facility | $2,226.13 | $6,105.48 | $13,137.87 | |
United
| Facility | $2,303.00 | $10,242.00 | $20,037.00 |