| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $180.72 | $180.72 | $222.38 | |
Aetna
| Professional | $180.72 | $180.72 | $180.72 | |
Anthem BCBS
| Professional | $180.30 | $180.30 | $180.30 | |
United
| Professional | $180.30 | $180.30 | $180.30 | |
Well Sense
| Professional | $180.72 | $198.79 | $253.01 |