| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.56 | $22.56 | $22.56 | |
Aetna
| Professional | $14.61 | $26.27 | $33.69 | |
Anthem BCBS
| Facility | $27.44 | $35.40 | $40.50 | |
Anthem BCBS
| Professional | $24.97 | $29.38 | $34.57 | |
United
| Professional | $13.73 | $28.41 | $46.93 |