| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.42 | $107.42 | $107.42 | |
Aetna
| Professional | $103.54 | $107.42 | $107.42 | |
Anthem BCBS
| Professional | $106.25 | $122.95 | $122.95 | |
United
| Professional | $129.41 | $129.41 | $136.47 |