| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
BCBS
| Facility | $460.80 | $460.80 | $460.80 | |
BCBS
| Professional | $460.80 | $460.80 | $460.80 | |
United
| Professional | $465.19 | $508.32 | $719.27 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
BCBS
| Facility | $460.80 | $460.80 | $460.80 | |
BCBS
| Professional | $460.80 | $460.80 | $460.80 | |
United
| Professional | $465.19 | $508.32 | $719.27 |