| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $560.00 | $960.00 | $1,768.00 | |
Aetna
| Professional | $54.24 | $76.58 | $84.00 | |
BCBS
| Facility | $90.91 | $110.32 | $148.41 | |
United
| Facility | $75.68 | $168.18 | $168.18 | |
United
| Professional | $62.90 | $78.28 | $116.47 |