| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.27 | $188.27 | $244.54 | |
Aetna
| Professional | $50.00 | $166.05 | $203.78 | |
Anthem BCBS
| Professional | $63.00 | $70.00 | $70.00 | |
Well Sense
| Professional | $152.09 | $167.30 | $212.93 |