| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.71 | $882.71 | $1,218.97 | |
Aetna
| Professional | $420.34 | $882.71 | $882.71 | |
BCBS
| Facility | $798.64 | $798.64 | $798.64 | |
BCBS
| Professional | $630.23 | $840.30 | $945.34 | |
United
| Facility | $630.50 | $630.50 | $630.50 | |
United
| Professional | $294.24 | $420.34 | $700.56 |