| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $9,859.00 | |
Anthem BCBS
| Facility | $1,223.09 | $1,359.00 | $3,300.00 | |
Anthem BCBS
| Professional | $43.85 | $58.90 | $62.98 | |
United
| Facility | $9,949.00 | $9,949.00 | $9,949.00 | |
Well Sense
| Professional | $2,750.00 | $2,920.00 | $3,000.00 |