| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $165.96 | $165.96 | |
Aetna
| Professional | $95.50 | $2,398.83 | $2,398.83 | |
Anthem BCBS
| Professional | $112.20 | $117.49 | $117.49 | |
Select Health
| Professional | $3,090.30 | $3,162.28 | $3,548.13 |