| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.57 | $450.80 | $3,093.44 | |
Aetna
| Professional | $310.67 | $1,083.45 | $4,618.13 | |
Ambetter
| Professional | $339.00 | $339.00 | $348.01 | |
BCBS
| Professional | $203.34 | $299.02 | $1,610.50 | |
Qualchoice
| Professional | $389.85 | $389.85 | $400.21 | |
United
| Facility | $4,334.00 | $4,334.00 | $4,334.00 | |
United
| Professional | $1,709.93 | $3,022.45 | $3,660.86 |