| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $395.60 | $395.60 | $395.60 | |
Aetna
| Professional | $395.60 | $395.60 | $395.60 | |
BCBS
| Facility | $16.17 | $19.62 | $26.40 | |
United
| Facility | $457.24 | $1,016.08 | $1,016.08 | |
United
| Professional | $375.81 | $481.70 | $689.71 |