| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.48 | $98.01 | $669.90 | |
Aetna
| Professional | $90.48 | $90.48 | $97.33 | |
BCBS
| Professional | $332.18 | $332.18 | $332.18 | |
Medcost
| Facility | $90.48 | $90.48 | $126.67 | |
Medcost
| Professional | $83.27 | $83.27 | $83.27 |