| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.07 | $150.07 | $184.66 | |
Aetna
| Professional | $150.07 | $150.07 | $150.07 | |
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.04 | |
Anthem BCBS
| Professional | $149.71 | $149.71 | $149.71 | |
United
| Professional | $136.80 | $136.80 | $136.80 | |
Well Sense
| Professional | $150.07 | $165.08 | $210.10 |