| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $28.84 | |
Aetna
| Professional | $19.95 | $23.99 | $39.81 | |
BCBS
| Facility | $131.83 | $165.96 | $281.84 | |
BCBS
| Professional | $38.90 | $38.90 | $38.90 | |
United
| Professional | $38.02 | $64.57 | $79.43 |