| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $267.49 | $267.49 | $267.49 | |
Aetna
| Professional | $247.74 | $267.49 | $267.49 | |
Anthem BCBS
| Professional | $130.71 | $169.93 | $219.91 | |
United
| Professional | $183.93 | $314.85 | $511.23 |