| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $577.50 | $577.50 | $577.50 | |
Aetna
| Professional | $346.80 | $397.78 | $577.50 | |
BCBS
| Facility | $648.23 | $786.65 | $1,058.30 | |
BCBS
| Professional | $260.58 | $372.26 | $439.27 | |
United
| Professional | $276.35 | $344.21 | $524.52 |