| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,570.88 | $4,897.79 | $10,471.29 | |
Aetna
| Professional | $812.83 | $812.83 | $812.83 | |
Anthem BCBS
| Professional | $64.57 | $93.33 | $1,380.38 | |
United
| Facility | $1,513.56 | $5,754.40 | $10,000.00 |