| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.51 | $27.51 | $1,053.83 | |
Aetna
| Professional | $19.01 | $28.19 | $37.09 | |
Anthem BCBS
| Facility | $33.22 | $42.88 | $49.06 | |
Anthem BCBS
| Professional | $28.00 | $31.46 | $31.46 | |
United
| Professional | $16.82 | $39.78 | $57.04 |