| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.94 | $12.02 | $15.85 | |
Anthem BCBS
| Facility | $12.88 | $12.88 | $12.88 | |
Anthem BCBS
| Professional | $12.88 | $12.88 | $21.88 | |
Select Health
| Professional | $12.88 | $12.88 | $13.49 |