| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $537.03 | $1,380.38 | |
Aetna
| Professional | $120.23 | $190.55 | $229.09 | |
Anthem BCBS
| Professional | $190.55 | $234.42 | $354.81 | |
United
| Professional | $162.18 | $208.93 | $338.84 |