| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $28.84 | $40.74 | $54.95 | |
BCBS
| Facility | $14.13 | $34.67 | $79.43 | |
United
| Facility | $28.84 | $56.23 | $100.00 | |
United
| Professional | $41.69 | $53.70 | $91.20 |