| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,047.13 | $1,047.13 | $1,047.13 | |
Aetna
| Professional | $245.47 | $245.47 | $407.38 | |
Anthem BCBS
| Professional | $60.26 | $416.87 | $416.87 | |
Select Health
| Professional | $208.93 | $208.93 | $208.93 | |
United
| Professional | $218.78 | $707.95 | $707.95 |