| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $26.30 | $35.48 | |
Aetna
| Professional | $19.05 | $19.95 | $19.95 | |
BCBS
| Professional | $19.50 | $19.50 | $19.50 | |
Lucent Health
| Facility | $79.43 | $85.11 | $85.11 | |
United
| Facility | $13.80 | $14.79 | $16.98 | |
United
| Professional | $13.49 | $19.50 | $19.50 |