| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $2,331.21 | $11,351.00 | |
Anthem BCBS
| Facility | $3,302.10 | $3,669.21 | $6,000.00 | |
Anthem BCBS
| Professional | $1,096.97 | $1,648.03 | $2,301.46 | |
United
| Facility | $12,629.00 | $12,629.00 | $12,629.00 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |