| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.18 | $317.18 | $317.18 | |
Aetna
| Professional | $203.28 | $291.79 | $317.18 | |
BCBS
| Professional | $250.44 | $333.24 | $401.02 | |
Medcost
| Facility | $189.56 | $317.18 | $428.19 | |
Medcost
| Professional | $132.37 | $132.37 | $132.37 | |
United
| Professional | $115.31 | $250.44 | $315.80 |