| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.34 | $44.34 | $44.34 | |
Aetna
| Professional | $28.72 | $51.63 | $66.22 | |
Anthem BCBS
| Facility | $53.92 | $69.56 | $79.59 | |
Anthem BCBS
| Professional | $49.08 | $57.74 | $67.94 | |
United
| Professional | $26.99 | $45.62 | $90.06 |