| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $299.17 | $299.17 | $299.17 | |
Aetna
| Professional | $277.08 | $299.17 | $299.17 | |
Anthem BCBS
| Professional | $150.93 | $218.46 | $253.81 | |
United
| Professional | $205.72 | $364.08 | $918.46 |