| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.30 | $2,707.39 | $2,850.48 | |
Aetna
| Professional | $23.30 | $30.47 | $38.76 | |
BCBS
| Professional | $52.08 | $54.16 | $71.22 | |
Medcost
| Facility | $23.30 | $27.96 | $129.18 | |
United
| Professional | $17.32 | $25.98 | $39.04 |