| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.90 | $35.90 | $35.90 | |
Aetna
| Professional | $36.88 | $36.88 | $36.88 | |
Anthem BCBS
| Professional | $38.40 | $99,999.99 | $99,999.99 | |
United
| Professional | $44.34 | $44.34 | $104.26 |