| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $297.06 | $297.06 | $297.06 | |
BCBS
| Facility | $572.00 | $572.00 | $572.00 | |
BCBS
| Professional | $572.00 | $572.00 | $572.00 | |
United
| Facility | $594.88 | $594.88 | $594.88 | |
United
| Professional | $298.10 | $372.34 | $443.07 |