| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.00 | $61.00 | $61.00 | |
Aetna
| Professional | $30.00 | $48.00 | $61.00 | |
BCBS
| Facility | $31.91 | $38.49 | $51.96 | |
BCBS
| Professional | $390.00 | $390.00 | $390.00 | |
United
| Professional | $40.00 | $50.00 | $66.00 |