| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.86 | $61.96 | $68.73 | |
Aetna
| Professional | $26.75 | $61.96 | $68.73 | |
BCBS
| Facility | $33.86 | $33.86 | $33.86 | |
BCBS
| Professional | $33.86 | $33.86 | $33.86 | |
United
| Professional | $14.22 | $20.32 | $57.56 |