| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $199.60 | $199.60 | $199.60 | |
BCBS
| Facility | $12,717.42 | $28,754.55 | $39,713.11 | |
BCBS
| Professional | $225.27 | $233.85 | $361.35 | |
United
| Professional | $215.84 | $215.84 | $215.84 |