| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.09 | $11.09 | $11.09 | |
Aetna
| Professional | $10.41 | $11.09 | $11.09 | |
Anthem BCBS
| Facility | $61.71 | $359.92 | $652.53 | |
Anthem BCBS
| Professional | $62.02 | $129.96 | $181.40 | |
United
| Professional | $8.33 | $13.06 | $27.32 |