| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.10 | $190.10 | $190.10 | |
Aetna
| Professional | $14.74 | $190.10 | $198.00 | |
BCBS
| Facility | $101.84 | $174.56 | $334.93 | |
United
| Facility | $210.00 | $669.00 | $2,918.00 | |
United
| Professional | $13.30 | $16.61 | $29.54 |