| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.00 | $4,796.00 | $8,920.00 | |
Aetna
| Professional | $188.00 | $188.00 | $2,840.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $8.01 | |
Medcost
| Facility | $188.00 | $199.28 | $282.00 | |
United
| Facility | $296.00 | $1,045.00 | $2,364.00 |