| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $23.99 | $23.99 | |
Aetna
| Professional | $15.85 | $19.05 | $25.12 | |
BCBS
| Facility | $131.83 | $154.88 | $165.96 | |
BCBS
| Professional | $28.84 | $28.84 | $28.84 | |
United
| Professional | $37.15 | $67.61 | $74.13 |