| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Anthem BCBS
| Facility | $8,512.20 | $16,990.29 | $28,054.57 | |
Anthem BCBS
| Professional | $1,623.87 | $2,157.89 | $3,013.49 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |