| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.62 | $198.62 | $198.62 | |
Aetna
| Professional | $154.47 | $198.62 | $259.33 | |
BCBS
| Facility | $1,273.48 | $1,545.43 | $2,079.10 | |
United
| Facility | $625.00 | $1,738.00 | $3,360.00 | |
United
| Professional | $197.86 | $263.81 | $427.93 |