| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.00 | $79.00 | $79.00 | |
BCBS
| Facility | $47,000.00 | $81,499.99 | $94,999.99 | |
BCBS
| Professional | $23.14 | $23.14 | $23.14 | |
United
| Professional | $221.41 | $221.41 | $235.13 |