| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $585.04 | $585.04 | $585.04 | |
Aetna
| Professional | $585.04 | $585.04 | $603.50 | |
Anthem BCBS
| Professional | $22.50 | $30.00 | $33.00 | |
United
| Professional | $477.97 | $477.97 | $477.97 |