| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.50 | $474.11 | $521.00 | |
Aetna
| Professional | $205.80 | $474.11 | $521.00 | |
BCBS
| Facility | $260.50 | $260.50 | $260.50 | |
BCBS
| Professional | $260.50 | $260.50 | $260.50 | |
United
| Professional | $109.41 | $156.30 | $444.67 |