| 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 | $461.73 | $461.73 | $461.73 | |
United
| Professional | $358.35 | $384.23 | $450.90 |