| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.42 | $20.42 | $20.42 | |
Aetna
| Professional | $19.05 | $19.95 | $28.84 | |
BCBS
| Facility | $114.82 | $138.04 | $186.21 | |
BCBS
| Professional | $19.50 | $19.50 | $20.42 | |
United
| Facility | $13.80 | $13.80 | $14.79 | |
United
| Professional | $19.50 | $19.50 | $19.50 |