| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.46 | $28.46 | $28.46 | |
Aetna
| Professional | $29.24 | $29.24 | $29.24 | |
Anthem BCBS
| Professional | $30.45 | $99,999.99 | $99,999.99 | |
United
| Professional | $35.15 | $35.15 | $83.23 |