| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,331.21 | $11,351.00 | |
Anthem BCBS
| Facility | $4,769.10 | $5,299.00 | $8,600.00 | |
Anthem BCBS
| Professional | $979.53 | $1,077.49 | $1,516.78 | |
United
| Facility | $11,155.00 | $11,155.00 | $11,155.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |