| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.91 | $138.91 | $166.70 | |
Aetna
| Professional | $138.91 | $138.91 | $138.91 | |
Anthem BCBS
| Professional | $40.21 | $40.75 | $40.75 | |
Well Sense
| Professional | $2,500.00 | $3,000.00 | $3,750.00 |