| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.09 | $67.09 | $67.09 | |
Aetna
| Professional | $64.67 | $67.09 | $67.09 | |
Anthem BCBS
| Facility | $71.41 | $71.41 | $71.41 | |
Anthem BCBS
| Professional | $71.41 | $71.41 | $72.83 | |
United
| Professional | $80.84 | $80.84 | $85.25 |