| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $63.00 | $63.00 | |
BCBS
| Facility | $124.61 | $124.61 | $124.61 |
Other Clinic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.00 | $63.00 | $63.00 | |
BCBS
| Facility | $124.61 | $124.61 | $124.61 |