| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $1,288.25 | $1,288.25 | |
Aetna
| Professional | $416.87 | $416.87 | $416.87 | |
BCBS
| Professional | $524.81 | $645.65 | $1,348.96 | |
United
| Facility | $416.87 | $416.87 | $416.87 | |
United
| Professional | $165.96 | $173.78 | $436.52 |