| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.00 | $4,908.03 | $10,492.00 | |
Aetna
| Professional | $17.95 | $28.00 | $28.00 | |
Anthem BCBS
| Professional | $79.51 | $129.97 | $240.65 | |
United
| Professional | $5.11 | $6.56 | $9.49 |