| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $87.10 | $707.95 | |
Aetna
| Professional | $707.95 | $707.95 | $707.95 | |
Anthem BCBS
| Professional | $72.44 | $72.44 | $72.44 | |
Select Health
| Professional | $37.15 | $37.15 | $37.15 |