| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.20 | $182.20 | $182.20 | |
Aetna
| Professional | $182.20 | $182.20 | $204.99 | |
BCBS
| Facility | $1,283.77 | $1,557.91 | $2,095.89 | |
United
| Professional | $171.79 | $222.80 | $322.11 |