| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.62 | $20.62 | $3,931.50 | |
Aetna
| Professional | $20.14 | $20.14 | $20.62 | |
BCBS
| Facility | $19.64 | $19.64 | $19.64 | |
BCBS
| Professional | $19.64 | $19.64 | $19.64 | |
United
| Professional | $13.34 | $19.64 | $19.64 |