| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.06 | $11.06 | $11.06 | |
Aetna
| Professional | $11.06 | $11.06 | $11.06 | |
BCBS
| Facility | $13.48 | $13.48 | $16.17 | |
BCBS
| Professional | $13.83 | $28.00 | $46.00 | |
United
| Professional | $4.65 | $4.73 | $10.98 |