| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.61 | $212.61 | $297.64 | |
Aetna
| Professional | $212.61 | $212.61 | $212.61 | |
BCBS
| Facility | $201.98 | $201.98 | $302.97 | |
BCBS
| Professional | $201.98 | $201.98 | $206.02 | |
United
| Professional | $180.30 | $180.30 | $212.61 |