| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.00 | $960.00 | $2,250.00 | |
Aetna
| Professional | $100.47 | $104.08 | $116.65 | |
BCBS
| Facility | $505.90 | $613.92 | $825.94 | |
United
| Facility | $375.00 | $1,213.00 | $2,488.00 | |
United
| Professional | $115.22 | $165.91 | $245.79 |