| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.00 | $94.00 | $94.00 | |
Aetna
| Professional | $94.00 | $94.00 | $103.40 | |
BCBS
| Facility | $0.02 | $0.03 | $0.03 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 | |
United
| Professional | $143.29 | $235.44 | $331.41 |