| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $851.14 | $851.14 | $1,071.52 | |
BCBS
| Professional | $1,584.89 | $1,584.89 | $1,584.89 | |
United
| Facility | $1,258.93 | $1,258.93 | $1,258.93 | |
United
| Professional | $537.03 | $537.03 | $1,258.93 |