| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.06 | $297.06 | $297.06 | |
Aetna
| Professional | $297.06 | $297.06 | $297.06 | |
BCBS
| Professional | $370.00 | $406.45 | $467.65 | |
Medcost
| Facility | $297.06 | $297.06 | $297.06 | |
United
| Professional | $304.79 | $349.60 | $456.69 |