| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.82 | $27.82 | $27.82 | |
Aetna
| Professional | $27.48 | $27.82 | $70.09 | |
BCBS
| Professional | $16.32 | $16.32 | $22.32 | |
Medcost
| Facility | $20.77 | $29.67 | $34.50 | |
United
| Professional | $49.50 | $70.38 | $95.96 |