| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.42 | $212.42 | $212.42 | |
Aetna
| Professional | $137.60 | $247.33 | $317.18 | |
Anthem BCBS
| Facility | $258.26 | $333.24 | $381.26 | |
Anthem BCBS
| Professional | $235.12 | $276.61 | $325.43 | |
United
| Professional | $129.28 | $218.66 | $431.42 |