| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $2,747.00 | $10,152.00 | |
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
Anthem BCBS
| Facility | $8,241.00 | $9,271.00 | $10,301.00 | |
United
| Facility | $973.00 | $4,639.00 | $12,296.00 |