| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.84 | $153.84 | $159.63 | |
Aetna
| Professional | $153.84 | $159.63 | $284.88 | |
BCBS
| Professional | $407.00 | $669.00 | $669.00 | |
United
| Professional | $243.27 | $337.11 | $768.90 |