| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.49 | $15.96 | $15.96 | |
Anthem BCBS
| Professional | $10.74 | $12.68 | $14.92 | |
Excellus BCBS
| Facility | $20.00 | $20.00 | $20.00 | |
United
| Professional | $15.96 | $17.07 | $28.82 |