| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $831.76 | $831.76 | |
Aetna
| Professional | $1.00 | $1.00 | $2.75 | |
Anthem BCBS
| Facility | $1.07 | $1.35 | $2.00 | |
Anthem BCBS
| Professional | $0.85 | $0.85 | $1.17 | |
United
| Professional | $134.90 | $134.90 | $134.90 |