| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.15 | $58.04 | $62.87 | |
Aetna
| Professional | $54.05 | $58.04 | $62.87 | |
BCBS
| Facility | $35.92 | $63.85 | $91.12 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 | |
United
| Professional | $54.91 | $71.72 | $113.89 |