| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,250.00 | |
Aetna
| Professional | $670.00 | $670.00 | $670.00 | |
BCBS
| Facility | $420.60 | $509.18 | $685.01 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |
Unlisted Procedure Orbit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,250.00 | |
Aetna
| Professional | $670.00 | $670.00 | $670.00 | |
BCBS
| Facility | $420.60 | $509.18 | $685.01 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 |