| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $331.13 | $1,513.56 | |
Aetna
| Professional | $309.03 | $309.03 | $575.44 | |
Anthem BCBS
| Professional | $30.20 | $331.13 | $331.13 | |
Select Health
| Professional | $208.93 | $208.93 | $208.93 | |
United
| Professional | $489.78 | $630.96 | $630.96 |