| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.00 | $960.00 | $2,250.00 | |
Aetna
| Professional | $58.14 | $85.24 | $95.77 | |
BCBS
| Facility | $320.24 | $388.63 | $522.84 | |
United
| Facility | $250.00 | $896.00 | $1,665.00 | |
United
| Professional | $70.64 | $89.48 | $153.94 |