| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $240.89 | $496.49 | $899.75 | |
Aetna
| Professional | $208.76 | $345.23 | $774.90 | |
BCBS
| Facility | $4,412.50 | $4,412.50 | $4,800.80 | |
BCBS
| Professional | $169.97 | $224.96 | $249.95 | |
United
| Professional | $161.38 | $238.32 | $655.85 |