| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $114.82 | |
Aetna
| Professional | $114.82 | $120.23 | $123.03 | |
Anthem BCBS
| Professional | $36.31 | $87.10 | $138.04 | |
Select Health
| Professional | $144.54 | $147.91 | $147.91 | |
United
| Professional | $64.57 | $64.57 | $64.57 |