| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.51 | $15.51 | $15.51 | |
Aetna
| Professional | $14.27 | $15.51 | $15.51 | |
BCBS
| Professional | $16.29 | $17.10 | $22.28 | |
Medcost
| Facility | $13.55 | $17.05 | $40.40 | |
United
| Professional | $5.64 | $13.55 | $18.29 |