| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $511.20 | $1,078.63 | $4,724.05 | |
Aetna
| Professional | $511.20 | $511.20 | $540.97 | |
Anthem BCBS
| Professional | $50.26 | $586.37 | $733.82 | |
United
| Professional | $413.80 | $489.27 | $720.71 |