| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.12 | $23.12 | $23.12 | |
Aetna
| Professional | $14.98 | $26.92 | $34.52 | |
Anthem BCBS
| Facility | $28.11 | $36.27 | $41.50 | |
Anthem BCBS
| Professional | $25.59 | $30.10 | $35.42 | |
United
| Professional | $14.07 | $23.81 | $48.09 |