| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.66 | $134.66 | $134.66 | |
Aetna
| Professional | $8.00 | $10.00 | $10.00 | |
BCBS
| Facility | $54.88 | $83.63 | $109.88 | |
BCBS
| Professional | $36.25 | $42.65 | $42.65 | |
United
| Professional | $9.25 | $19.64 | $40.04 |