| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $513.64 | $555.53 | $839.53 | |
Aetna
| Professional | $513.64 | $600.29 | $1,985.43 | |
BCBS
| Professional | $378.13 | $500.46 | $500.46 | |
United
| Facility | $819.00 | $819.00 | $819.00 | |
United
| Professional | $361.08 | $521.60 | $797.00 |