| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $894.60 | $894.60 | $1,235.40 | |
Aetna
| Professional | $426.00 | $894.60 | $894.60 | |
BCBS
| Facility | $809.40 | $809.40 | $809.40 | |
BCBS
| Professional | $639.00 | $852.00 | $958.50 | |
United
| Facility | $639.00 | $639.00 | $639.00 | |
United
| Professional | $298.20 | $426.00 | $710.00 |