| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.07 | $163.88 | $324.14 | |
Aetna
| Professional | $150.07 | $150.07 | $150.07 | |
Anthem BCBS
| Professional | $149.71 | $149.71 | $149.71 | |
Medcost
| Facility | $176.55 | $176.55 | $228.56 | |
United
| Professional | $134.59 | $136.80 | $171.68 |