| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $579.72 | $579.72 | $579.72 | |
Aetna
| Professional | $347.93 | $398.58 | $579.72 | |
BCBS
| Facility | $648.23 | $786.65 | $1,058.30 | |
BCBS
| Professional | $388.28 | $554.69 | $654.53 | |
United
| Facility | $603.33 | $655.23 | $895.26 | |
United
| Professional | $271.43 | $367.25 | $525.92 |