| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.19 | $426.62 | $1,868.46 | |
Aetna
| Professional | $202.19 | $202.19 | $214.23 | |
Anthem BCBS
| Professional | $50.26 | $231.97 | $290.30 | |
United
| Professional | $163.98 | $193.90 | $285.62 |