| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.69 | $579.69 | $579.69 | |
Aetna
| Professional | $176.65 | $412.43 | $579.69 | |
Anthem BCBS
| Professional | $22.50 | $30.00 | $33.00 | |
United
| Professional | $128.47 | $128.47 | $128.47 |