| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.32 | $225.41 | $244.32 | |
Aetna
| Professional | $210.03 | $214.32 | $244.32 | |
BCBS
| Facility | $1,381.47 | $2,695.77 | $4,305.72 | |
United
| Professional | $204.26 | $250.04 | $392.73 |