| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,262.25 | $1,262.25 | $1,262.25 | |
Anthem BCBS
| Facility | $1,360.81 | $4,106.30 | $5,950.62 | |
Anthem BCBS
| Professional | $1,237.50 | $1,237.50 | $1,237.50 | |
Well Sense
| Professional | $1,280.52 | $1,408.57 | $1,792.73 |