| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.13 | $37.13 | $37.13 | |
Aetna
| Professional | $25.89 | $34.07 | $37.13 | |
BCBS
| Professional | $36.57 | $44.45 | $55.56 | |
Medcost
| Facility | $37.13 | $38.22 | $50.13 | |
Medcost
| Professional | $18.29 | $18.29 | $18.29 | |
United
| Facility | $45.74 | $45.74 | $45.74 | |
United
| Professional | $12.88 | $21.53 | $45.86 |