| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $903.00 | $4,311.00 | $7,439.00 | |
Aetna
| Professional | $126.00 | $126.00 | $700.00 | |
BCBS
| Professional | $45.60 | $49.76 | $60.00 | |
Medcost
| Facility | $126.00 | $126.00 | $126.00 | |
United
| Facility | $54.00 | $120.00 | $1,251.00 |