| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,090.30 | $5,370.32 | $10,715.19 | |
Aetna
| Professional | $208.93 | $295.12 | $549.54 | |
Anthem BCBS
| Professional | $316.23 | $316.23 | $316.23 | |
Select Health
| Professional | $645.65 | $645.65 | $660.69 |