| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.22 | $330.12 | $474.10 | |
Aetna
| Professional | $399.15 | $474.10 | $474.10 | |
Anthem BCBS
| Facility | $20,000.00 | $20,132.00 | $23,141.00 | |
Anthem BCBS
| Professional | $142.94 | $185.55 | $287.94 |