| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.30 | $242.30 | $242.30 | |
BCBS
| Facility | $4,750.07 | $9,632.41 | $11,941.91 | |
BCBS
| Professional | $175.12 | $198.85 | $383.04 | |
United
| Professional | $180.34 | $270.72 | $586.80 |