| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.41 | $129.41 | $181.19 | |
Aetna
| Professional | $129.41 | $129.41 | $129.41 | |
BCBS
| Facility | $74.39 | $111.59 | $140.57 | |
BCBS
| Professional | $74.39 | $74.39 | $75.88 | |
United
| Professional | $129.41 | $129.41 | $142.69 |