| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.17 | $193.17 | $193.17 | |
Aetna
| Professional | $160.79 | $193.17 | $193.17 | |
Anthem BCBS
| Professional | $59.55 | $86.99 | $110.67 | |
United
| Professional | $173.76 | $253.84 | $545.39 |