| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.80 | $213.80 | $288.40 | |
Anthem BCBS
| Professional | $26.30 | $26.30 | $26.30 | |
DeanCare
| Facility | $213.80 | $213.80 | $323.59 | |
Medica
| Facility | $213.80 | $213.80 | $346.74 | |
United
| Facility | $346.74 | $346.74 | $457.09 |