| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $28.84 | $39.81 | $54.95 | |
BCBS
| Facility | $14.13 | $57.54 | $131.83 | |
United
| Facility | $43.65 | $89.13 | $158.49 | |
United
| Professional | $41.69 | $53.70 | $91.20 |