| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.75 | $30.75 | $30.75 | |
Aetna
| Professional | $30.75 | $30.75 | $30.75 | |
BCBS
| Facility | $26.01 | $26.01 | $39.02 | |
BCBS
| Professional | $26.01 | $26.01 | $26.53 | |
United
| Professional | $21.85 | $24.28 | $29.14 |