| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.82 | $115.99 | $118.57 | |
BCBS
| Facility | $1,314.00 | $2,971.00 | $4,221.47 | |
BCBS
| Professional | $63.71 | $74.15 | $107.61 | |
United
| Professional | $65.39 | $89.02 | $148.90 |