| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $7,079.46 | $14,125.38 | |
Aetna
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
Anthem BCBS
| Facility | $8,317.64 | $15,135.61 | $16,595.87 | |
United
| Facility | $4,570.88 | $7,079.46 | $11,220.18 |