| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $742.27 | $1,350.93 | $1,484.54 | |
Aetna
| Professional | $586.39 | $1,350.93 | $1,484.54 | |
BCBS
| Facility | $742.27 | $742.27 | $742.27 | |
BCBS
| Professional | $742.27 | $742.27 | $742.27 | |
United
| Professional | $311.75 | $445.36 | $1,261.85 |