| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $12.88 | |
Aetna
| Professional | $10.96 | $12.88 | $19.95 | |
Anthem BCBS
| Professional | $15.14 | $16.60 | $18.20 | |
Select Health
| Professional | $19.95 | $20.42 | $20.42 |