| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.00 | $1,300.00 | $3,685.00 | |
Aetna
| Professional | $545.00 | $1,638.00 | $3,779.00 | |
BCBS
| Facility | $230.22 | $411.79 | $595.66 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |