| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.92 | $62.00 | $115.31 | |
Aetna
| Professional | $17.86 | $44.18 | $44.18 | |
Anthem BCBS
| Facility | $0.02 | $0.03 | $0.07 | |
Anthem BCBS
| Professional | $18.11 | $19.78 | $30.62 | |
United
| Professional | $21.01 | $21.01 | $29.52 |