| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $552.78 | $664.59 | $1,046.00 | |
Aetna
| Professional | $668.37 | $1,046.00 | $1,046.00 | |
Anthem BCBS
| Facility | $20,132.00 | $21,521.00 | $23,141.00 | |
Anthem BCBS
| Professional | $142.94 | $185.55 | $287.94 |