| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $34.67 | $39.81 | |
BCBS
| Facility | $36.31 | $36.31 | $36.31 | |
BCBS
| Professional | $34.67 | $36.31 | $42.66 | |
Health Alliance Plan
| Professional | $22.91 | $36.31 | $44.67 | |
United
| Professional | $35.48 | $42.66 | $51.29 |