| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.22 | $66.22 | $66.22 | |
Aetna
| Professional | $42.44 | $60.92 | $66.22 | |
BCBS
| Professional | $69.56 | $69.56 | $86.96 | |
Medcost
| Facility | $42.98 | $66.22 | $120.22 | |
Medcost
| Professional | $27.63 | $27.63 | $27.63 | |
United
| Professional | $24.07 | $54.87 | $65.92 |