| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.92 | $123.92 | $123.92 | |
BCBS
| Professional | $252.00 | $252.00 | $302.00 | |
United
| Facility | $1,275.00 | $1,275.00 | $5,606.00 | |
United
| Professional | $209.40 | $270.79 | $444.62 |