| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.98 | $44.98 | $44.98 | |
Aetna
| Professional | $44.98 | $44.98 | $44.98 | |
BCBS
| Professional | $27.99 | $33.50 | $123.00 | |
Medcost
| Facility | $44.98 | $44.98 | $44.98 | |
United
| Professional | $19.14 | $21.53 | $27.99 |