| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $450.00 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
BCBS
| Facility | $408.00 | $514.88 | $728.45 | |
BCBS
| Professional | $408.00 | $450.29 | $717.39 | |
Medcost
| Facility | $439.65 | $495.00 | $1,073.28 | |
United
| Professional | $412.74 | $482.54 | $647.67 |