| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.61 | $258.61 | $258.61 | |
Aetna
| Professional | $167.52 | $301.12 | $386.17 | |
Anthem BCBS
| Facility | $314.43 | $405.72 | $464.18 | |
Anthem BCBS
| Professional | $286.26 | $336.77 | $396.21 | |
United
| Professional | $157.40 | $306.32 | $525.26 |