| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.27 | $85.27 | $85.27 | |
BCBS
| Professional | $168.00 | $168.00 | $202.00 | |
United
| Facility | $1,275.00 | $1,275.00 | $5,606.00 | |
United
| Professional | $121.00 | $197.53 | $311.52 |