| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.21 | $53.21 | $53.21 | |
Aetna
| Professional | $34.47 | $61.96 | $79.45 | |
Anthem BCBS
| Facility | $64.70 | $83.49 | $95.52 | |
Anthem BCBS
| Professional | $58.90 | $69.30 | $81.53 | |
United
| Professional | $32.39 | $54.78 | $108.07 |