| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.97 | $602.54 | $790.27 | |
Aetna
| Professional | $771.67 | $771.68 | $790.27 | |
BCBS
| Facility | $883.24 | $883.24 | $883.24 | |
BCBS
| Professional | $883.24 | $883.24 | $883.24 | |
United
| Professional | $838.43 | $883.24 | $883.24 |