| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.24 | $447.24 | $447.24 | |
Aetna
| Professional | $59.50 | $237.75 | $447.24 | |
Anthem BCBS
| Professional | $16.92 | $19.91 | $19.91 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |