| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.00 | $1,317.60 | $1,778.76 | |
Aetna
| Professional | $568.79 | $568.79 | $828.00 | |
BCBS
| Facility | $7.88 | $7.88 | $7.88 | |
BCBS
| Professional | $7.88 | $7.88 | $7.88 | |
United
| Professional | $302.39 | $432.00 | $1,080.00 |