| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.22 | $158.26 | $339.34 | |
Aetna
| Professional | $103.22 | $103.22 | $103.22 | |
Anthem BCBS
| Facility | $114.98 | $168.62 | $312.70 | |
Anthem BCBS
| Professional | $101.19 | $101.19 | $103.21 | |
United
| Professional | $91.07 | $101.19 | $112.32 |