| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.70 | $349.70 | $524.54 | |
Aetna
| Professional | $316.85 | $559.52 | $593.66 | |
BCBS
| Facility | $517.29 | $517.29 | $562.82 | |
CareSource
| Facility | $414.32 | $414.32 | $414.32 | |
United
| Facility | $596.84 | $912.45 | $1,725.65 | |
United
| Professional | $321.83 | $419.12 | $628.86 |