| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.86 | $49.86 | $69.80 | |
Aetna
| Professional | $49.86 | $49.86 | $49.86 | |
BCBS
| Facility | $46.51 | $46.51 | $69.77 | |
BCBS
| Professional | $46.51 | $46.51 | $47.44 | |
United
| Professional | $42.28 | $42.28 | $49.86 |