| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $114.82 | $114.82 | |
Aetna
| Professional | $93.33 | $93.33 | $120.23 | |
BCBS
| Facility | $218.78 | $331.13 | $346.74 | |
BCBS
| Professional | $177.83 | $218.78 | $218.78 | |
United
| Professional | $43.65 | $43.65 | $43.65 |