| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $752.60 | $1,024.53 | $3,734.46 | |
Aetna
| Professional | $426.00 | $844.90 | $923.00 | |
BCBS
| Facility | $768.79 | $1,386.56 | $2,184.81 | |
United
| Professional | $298.20 | $382.29 | $923.00 |