| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.08 | $21.08 | $21.08 | |
Aetna
| Professional | $21.08 | $21.08 | $21.08 | |
BCBS
| Professional | $10.50 | $12.79 | $46.09 | |
Medcost
| Facility | $21.08 | $21.08 | $21.08 | |
United
| Professional | $7.18 | $8.07 | $10.50 |