| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.00 | $11.00 | $11.00 | |
Aetna
| Professional | $7.12 | $12.81 | $16.42 | |
Anthem BCBS
| Facility | $13.37 | $17.25 | $19.73 | |
Anthem BCBS
| Professional | $12.34 | $14.32 | $16.85 | |
United
| Professional | $6.69 | $13.86 | $23.34 |