| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $830.64 | $1,825.18 | $5,191.47 | |
Aetna
| Professional | $519.15 | $519.15 | $600.73 | |
Anthem BCBS
| Facility | $1,220.00 | $1,355.72 | $2,892.40 | |
Anthem BCBS
| Professional | $296.66 | $482.06 | $482.07 | |
United
| Professional | $311.49 | $444.98 | $444.98 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |