| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.63 | $1,724.08 | $4,903.92 | |
Aetna
| Professional | $490.39 | $490.39 | $567.45 | |
Anthem BCBS
| Facility | $1,152.42 | $1,280.61 | $2,732.18 | |
Anthem BCBS
| Professional | $280.22 | $455.36 | $455.36 | |
United
| Professional | $294.24 | $420.34 | $420.34 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |