| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,300.00 | $1,901.00 | $3,216.00 | |
Anthem BCBS
| Facility | $407.00 | $407.00 | $407.00 | |
Optum
| Facility | $625.00 | $625.00 | $625.00 | |
United
| Facility | $512.00 | $968.00 | $982.00 |