| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.00 | $960.00 | $2,250.00 | |
Aetna
| Professional | $140.99 | $140.99 | $199.74 | |
BCBS
| Facility | $612.85 | $743.72 | $1,000.54 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 | |
United
| Professional | $142.49 | $173.02 | $244.26 |