| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.70 | $75.03 | $148.41 | |
Aetna
| Professional | $68.70 | $68.70 | $68.70 | |
Anthem BCBS
| Professional | $71.41 | $71.41 | $71.41 | |
Medcost
| Facility | $67.50 | $67.50 | $104.65 | |
United
| Professional | $78.41 | $80.84 | $80.84 |