| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $360.00 | $540.84 | $540.84 | |
Aetna
| Professional | $30.00 | $32.50 | $492.00 | |
Anthem BCBS
| Professional | $243.18 | $407.40 | $539.40 | |
United
| Professional | $50.00 | $69.00 | $99.00 | |
Well Sense
| Professional | $118.59 | $139.52 | $179.18 |