| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $580.00 | $1,544.00 | $3,779.00 | |
Aetna
| Professional | $532.17 | $2,698.00 | $3,779.00 | |
BCBS
| Facility | $593.39 | $1,107.46 | $1,905.65 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |