| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $386.17 | $386.17 | $386.17 | |
Aetna
| Professional | $247.49 | $355.26 | $386.17 | |
BCBS
| Professional | $304.89 | $405.72 | $488.24 | |
Medcost
| Facility | $196.83 | $386.17 | $521.33 | |
Medcost
| Professional | $161.15 | $161.15 | $161.15 | |
United
| Professional | $140.38 | $314.39 | $411.60 |