| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $1,737.80 | $2,398.83 | |
Aetna
| Professional | $1,737.80 | $1,737.80 | $3,162.28 | |
Anthem BCBS
| Professional | $3.98 | $3.98 | $3.98 | |
Select Health
| Professional | $457.09 | $457.09 | $457.09 |