| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $645.65 | $645.65 | |
Aetna
| Professional | $645.65 | $645.65 | $1,819.70 | |
Anthem BCBS
| Professional | $199.53 | $295.12 | $295.12 | |
Select Health
| Professional | $120.23 | $120.23 | $120.23 |