| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.48 | $245.48 | $245.48 | |
Aetna
| Professional | $157.32 | $225.83 | $245.48 | |
BCBS
| Professional | $204.88 | $257.89 | $322.38 | |
Medcost
| Facility | $159.97 | $245.48 | $331.40 | |
Medcost
| Professional | $102.44 | $102.44 | $102.44 | |
United
| Professional | $85.78 | $193.80 | $261.63 |