| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $34.67 | |
Aetna
| Professional | $34.67 | $34.67 | $36.31 | |
BCBS
| Professional | $44.67 | $56.23 | $114.82 | |
United
| Facility | $36.31 | $36.31 | $36.31 | |
United
| Professional | $15.14 | $15.14 | $36.31 |