| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.61 | $19.23 | $38.04 | |
Aetna
| Professional | $17.61 | $17.61 | $17.61 | |
Anthem BCBS
| Professional | $17.27 | $17.27 | $17.27 | |
Medcost
| Facility | $20.72 | $20.72 | $26.82 | |
United
| Professional | $20.39 | $20.72 | $20.72 |