| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.34 | $157.34 | $157.34 | |
Aetna
| Professional | $157.34 | $157.34 | $166.34 | |
Anthem BCBS
| Professional | $54.63 | $97.41 | $139.41 | |
United
| Professional | $156.80 | $203.75 | $285.25 |