| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $1,348.96 | $1,348.96 | |
Aetna
| Professional | $199.53 | $208.93 | $245.47 | |
BCBS
| Facility | $309.03 | $346.74 | $371.54 | |
BCBS
| Professional | $398.11 | $398.11 | $398.11 | |
United
| Facility | $363.08 | $363.08 | $363.08 | |
United
| Professional | $125.89 | $181.97 | $436.52 |