| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $300.69 | $300.69 | $300.69 | |
BCBS
| Facility | $6,669.48 | $15,079.96 | $20,827.03 | |
BCBS
| Professional | $188.85 | $196.02 | $303.74 | |
United
| Professional | $196.70 | $196.70 | $196.70 |