| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.42 | $16.42 | $16.42 | |
Aetna
| Professional | $10.52 | $15.11 | $16.42 | |
BCBS
| Professional | $11.00 | $17.25 | $21.56 | |
Medcost
| Facility | $10.74 | $16.42 | $42.80 | |
Medcost
| Professional | $6.85 | $6.85 | $6.85 | |
United
| Professional | $5.97 | $12.96 | $17.50 |