| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $416.78 | $416.78 | |
Aetna
| Professional | $416.78 | $416.78 | $416.79 | |
BCBS
| Facility | $472.09 | $506.12 | $581.38 | |
MVP Health Care
| Professional | $416.78 | $416.78 | $416.78 | |
United
| Professional | $183.53 | $439.90 | $1,875.51 |