| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,230.27 | $1,230.27 | $1,230.27 | |
Aetna
| Professional | $1,230.27 | $1,230.27 | $1,288.25 | |
Anthem BCBS
| Professional | $2.40 | $3.39 | $4.17 | |
United
| Facility | $616.60 | $616.60 | $616.60 |