| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $1,500.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
Anthem BCBS
| Facility | $1,310.00 | $1,310.00 | $1,545.00 | |
Anthem BCBS
| Professional | $1,861.84 | $2,188.42 | $2,846.99 |