| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.39 | $164.39 | $164.39 | |
Aetna
| Professional | $106.49 | $191.41 | $245.48 | |
Anthem BCBS
| Facility | $199.87 | $257.89 | $295.06 | |
Anthem BCBS
| Professional | $181.96 | $214.08 | $251.86 | |
United
| Professional | $100.06 | $169.21 | $333.89 |