| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $57.54 | |
Aetna
| Professional | $48.98 | $61.66 | $70.79 | |
BCBS
| Facility | $0.02 | $44.67 | $87.10 | |
United
| Facility | $89.13 | $1,096.48 | $5,011.87 | |
United
| Professional | $53.70 | $70.79 | $114.82 |