| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.00 | $700.00 | $700.00 | |
Aetna
| Professional | $700.00 | $700.00 | $700.00 | |
Anthem BCBS
| Facility | $73.08 | $94.73 | $224.13 | |
Anthem BCBS
| Professional | $55.90 | $73.98 | $103.77 |