| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,080.00 | $5,563.95 | $7,420.19 | |
Aetna
| Professional | $1,000.00 | $1,080.00 | $1,080.00 | |
Anthem BCBS
| Facility | $3,603.00 | $5,250.00 | $8,318.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 |