| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $630.96 | $1,479.11 | |
Aetna
| Professional | $190.55 | $257.04 | $338.84 | |
Anthem BCBS
| Facility | $323.59 | $380.19 | $426.58 | |
United
| Professional | $162.18 | $208.93 | $616.60 |