| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.22 | $34.22 | $34.22 | |
Aetna
| Professional | $21.94 | $31.49 | $34.22 | |
BCBS
| Professional | $35.96 | $35.96 | $44.95 | |
Medcost
| Facility | $22.28 | $34.22 | $70.45 | |
Medcost
| Professional | $14.28 | $14.28 | $14.28 | |
United
| Professional | $12.44 | $21.07 | $36.46 |