| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $273.83 | $273.83 | $273.83 | |
BCBS
| Facility | $10,129.99 | $22,904.30 | $31,633.28 | |
BCBS
| Professional | $235.67 | $244.63 | $377.48 | |
United
| Professional | $276.74 | $276.74 | $276.74 |