| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.98 | $22.98 | $22.98 | |
Aetna
| Professional | $18.21 | $25.22 | $33.18 | |
Anthem BCBS
| Facility | $27.77 | $35.83 | $40.99 | |
Anthem BCBS
| Professional | $23.00 | $26.32 | $26.32 | |
United
| Professional | $14.79 | $43.47 | $50.17 |