| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.97 | $1,268.00 | $2,250.00 | |
Aetna
| Professional | $59.91 | $180.00 | $200.98 | |
BCBS
| Facility | $1,141.59 | $1,382.00 | $1,859.23 | |
United
| Facility | $375.00 | $1,213.00 | $2,488.00 | |
United
| Professional | $156.56 | $188.94 | $349.58 |