| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $33.88 | $61.66 | $120.23 | |
BCBS
| Facility | $36.31 | $36.31 | $50.12 | |
United
| Facility | $107.15 | $645.65 | $2,570.40 | |
United
| Professional | $50.12 | $67.61 | $117.49 |