| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $497.00 | $497.00 | $525.40 | |
BCBS
| Facility | $0.02 | $1,455.89 | $1,643.65 | |
BCBS
| Professional | $940.75 | $940.75 | $940.75 | |
United
| Professional | $298.20 | $426.00 | $1,024.03 |