| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.41 | $94.41 | $94.41 | |
Aetna
| Professional | $94.41 | $94.41 | $94.41 | |
BCBS
| Facility | $115.50 | $115.50 | $138.60 | |
BCBS
| Professional | $118.01 | $238.00 | $391.00 | |
United
| Professional | $39.65 | $40.52 | $94.11 |