| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $441.26 | $441.26 | $441.26 | |
Aetna
| Professional | $282.80 | $405.94 | $441.26 | |
BCBS
| Professional | $348.40 | $463.60 | $557.90 | |
Medcost
| Facility | $209.04 | $441.26 | $595.70 | |
Medcost
| Professional | $184.14 | $184.14 | $184.14 | |
United
| Professional | $160.41 | $365.82 | $439.33 |