| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $61.66 | $69.18 | |
Aetna
| Professional | $25.12 | $26.92 | $61.66 | |
BCBS
| Facility | $33.88 | $33.88 | $33.88 | |
BCBS
| Professional | $33.88 | $33.88 | $33.88 | |
United
| Facility | $30.20 | $30.20 | $40.74 | |
United
| Professional | $14.13 | $20.42 | $75.86 |