| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.72 | $20.72 | $29.01 | |
Aetna
| Professional | $20.72 | $20.72 | $20.72 | |
BCBS
| Facility | $19.68 | $19.68 | $29.52 | |
BCBS
| Professional | $19.68 | $19.68 | $20.07 | |
United
| Professional | $20.72 | $20.72 | $22.84 |