| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.54 | $278.43 | $387.65 | |
Aetna
| Professional | $146.54 | $146.54 | $150.07 | |
Anthem BCBS
| Facility | $0.03 | $0.03 | $0.03 | |
Anthem BCBS
| Professional | $149.71 | $149.71 | $149.71 | |
United
| Professional | $136.80 | $136.80 | $136.80 |