| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.04 | $250.04 | $256.83 | |
Aetna
| Professional | $217.74 | $217.74 | $250.04 | |
BCBS
| Professional | $344.00 | $344.00 | $424.00 | |
United
| Professional | $269.38 | $390.08 | $667.52 |