| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.84 | $78.84 | $78.84 | |
Aetna
| Professional | $19.41 | $19.41 | $20.62 | |
BCBS
| Facility | $20.62 | $20.83 | $22.01 | |
BCBS
| Professional | $15.28 | $21.83 | $21.83 | |
United
| Professional | $19.64 | $19.64 | $19.64 |