| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
Anthem BCBS
| Facility | $3,704.40 | $3,704.40 | $3,704.40 | |
Anthem BCBS
| Professional | $281.00 | $4,817.05 | $4,830.58 | |
United
| Professional | $50.00 | $70.00 | $70.00 |