| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.00 | $1,716.00 | $8,229.00 | |
Aetna
| Professional | $1,023.00 | $2,843.00 | $8,229.00 | |
Anthem BCBS
| Professional | $8.01 | $8.01 | $8.01 | |
United
| Facility | $59.00 | $668.00 | $1,895.00 |