| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $4,897.79 | $4,897.79 | |
Aetna
| Professional | $1.00 | $2.00 | $7.94 | |
Anthem BCBS
| Facility | $114.82 | $134.90 | $151.36 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $1.35 | |
United
| Facility | $66.07 | $66.07 | $66.07 |