| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.23 | $242.23 | $242.23 | |
Aetna
| Professional | $242.23 | $242.23 | $242.23 | |
Anthem BCBS
| Professional | $52.50 | $63.00 | $77.00 | |
United
| Professional | $212.69 | $290.75 | $463.94 |