| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,453.46 | $3,402.26 | $18,202.45 | |
Aetna
| Professional | $2,398.00 | $2,453.46 | $2,453.46 | |
Anthem BCBS
| Professional | $0.03 | $0.03 | $0.03 | |
United
| Professional | $50.00 | $50.00 | $50.00 |