| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.66 | $10.66 | $10.66 | |
Aetna
| Professional | $6.83 | $9.81 | $10.66 | |
BCBS
| Professional | $11.20 | $11.20 | $14.00 | |
Medcost
| Facility | $6.76 | $10.66 | $14.39 | |
Medcost
| Professional | $4.45 | $4.45 | $4.45 | |
United
| Professional | $3.72 | $8.42 | $10.61 |