| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $632.99 | $632.99 | $632.99 | |
Aetna
| Professional | $580.09 | $632.99 | $632.99 | |
Anthem BCBS
| Professional | $48.13 | $64.18 | $79.65 | |
United
| Professional | $432.22 | $672.47 | $1,478.50 |