| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.51 | $15.51 | $15.51 | |
Aetna
| Professional | $9.94 | $14.27 | $15.51 | |
BCBS
| Professional | $12.25 | $16.29 | $20.36 | |
Medcost
| Facility | $10.89 | $15.51 | $20.94 | |
Medcost
| Professional | $6.48 | $6.48 | $6.48 | |
United
| Professional | $5.42 | $12.25 | $16.54 |