| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.69 | $33.69 | $33.69 | |
Aetna
| Professional | $21.59 | $30.99 | $33.69 | |
BCBS
| Professional | $35.40 | $35.40 | $44.25 | |
Medcost
| Facility | $21.89 | $33.69 | $50.32 | |
Medcost
| Professional | $14.06 | $14.06 | $14.06 | |
United
| Professional | $11.77 | $25.30 | $33.54 |