| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.54 | $146.54 | $146.54 | |
Aetna
| Professional | $141.24 | $146.54 | $146.54 | |
Anthem BCBS
| Professional | $142.50 | $145.26 | $149.71 | |
United
| Professional | $136.80 | $136.80 | $176.55 |