| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.32 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $178.10 | $191.32 | $207.18 | |
BCBS
| Facility | $978.57 | $1,739.59 | $2,482.42 | |
United
| Professional | $173.29 | $233.86 | $380.67 |