| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.74 | $43.65 | $43.65 | |
BCBS
| Facility | $363.08 | $363.08 | $363.08 | |
BCBS
| Professional | $70.79 | $74.13 | $102.33 | |
Health Alliance Plan
| Professional | $20.89 | $29.51 | $43.65 | |
United
| Professional | $21.38 | $22.39 | $23.99 |