| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $496.64 | $588.04 | $588.04 | |
Aetna
| Professional | $775.18 | $775.18 | $775.18 | |
BCBS
| Professional | $790.27 | $929.73 | $929.73 | |
United
| Professional | $883.24 | $883.24 | $883.24 |