| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,786.30 | $4,786.30 | $4,786.30 | |
Anthem BCBS
| Facility | $5,011.87 | $5,623.41 | $8,912.51 | |
Well Sense
| Facility | $2,511.89 | $2,511.89 | $3,981.07 | |
Well Sense
| Professional | $2,511.89 | $2,511.89 | $2,511.89 |