| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.04 | $185.04 | $190.07 | |
Aetna
| Professional | $161.13 | $161.13 | $185.04 | |
BCBS
| Professional | $255.00 | $255.00 | $314.00 | |
United
| Professional | $172.57 | $237.49 | $442.37 |