| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.92 | $27.54 | $27.54 | |
Aetna
| Professional | $26.92 | $26.92 | $34.67 | |
Anthem BCBS
| Facility | $109.65 | $128.82 | $147.91 | |
Anthem BCBS
| Professional | $4.37 | $4.37 | $4.37 | |
United
| Facility | $28.18 | $28.18 | $28.18 |