| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.84 | $117.27 | $248.40 | |
Aetna
| Professional | $67.48 | $76.11 | $100.05 | |
BCBS
| Facility | $145.54 | $287.04 | $522.99 | |
BCBS
| Professional | $74.86 | $92.02 | $147.38 | |
United
| Facility | $82.31 | $82.31 | $82.31 | |
United
| Professional | $74.02 | $97.29 | $158.99 |