| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.00 | $28.00 | $28.00 | |
Aetna
| Professional | $21.71 | $28.00 | $36.67 | |
BCBS
| Facility | $51.28 | $62.23 | $83.72 | |
United
| Facility | $650.00 | $1,754.00 | $4,083.00 | |
United
| Professional | $21.98 | $28.84 | $42.93 |