| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $22.91 | |
Aetna
| Professional | $22.91 | $38.90 | $64.57 | |
BCBS
| Facility | $36.31 | $36.31 | $50.12 | |
United
| Facility | $45.71 | $58.88 | $112.20 | |
United
| Professional | $36.31 | $48.98 | $79.43 |