| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.52 | $440.52 | $608.34 | |
Aetna
| Professional | $209.77 | $440.52 | $440.52 | |
BCBS
| Professional | $314.66 | $419.54 | $471.99 | |
United
| Facility | $314.66 | $314.66 | $349.62 | |
United
| Professional | $146.84 | $209.77 | $350.16 |