| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.63 | $201.56 | $218.46 | |
Aetna
| Professional | $187.80 | $191.63 | $218.46 | |
BCBS
| Facility | $1,381.47 | $2,695.77 | $4,305.72 | |
United
| Professional | $182.63 | $219.42 | $351.15 |