| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $21,126.00 | |
Anthem BCBS
| Facility | $3,302.10 | $3,669.21 | $6,000.00 | |
Anthem BCBS
| Professional | $1,452.16 | $1,452.16 | $1,457.54 | |
United
| Facility | $7,448.00 | $7,448.00 | $7,448.00 | |
Well Sense
| Professional | $2,750.00 | $2,920.00 | $3,000.00 |