| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.91 | $247.27 | $7,870.14 | |
Aetna
| Professional | $138.91 | $138.91 | $138.91 | |
Anthem BCBS
| Professional | $40.21 | $40.21 | $53.89 | |
Medcost
| Facility | $138.91 | $147.26 | $234.77 |