| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,785.63 | $5,462.50 | $11,465.84 | |
Aetna
| Professional | $4,759.30 | $4,759.30 | $4,759.30 | |
Anthem BCBS
| Facility | $2,548.00 | $6,744.00 | $9,394.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 |