| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.62 | $20.62 | $1,116.00 | |
Aetna
| Professional | $19.89 | $20.62 | $34.29 | |
BCBS
| Facility | $111.43 | $135.22 | $181.92 | |
BCBS
| Professional | $19.64 | $19.64 | $20.42 | |
United
| Professional | $19.64 | $19.64 | $19.64 |