| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $616.60 | $616.60 | $616.60 | |
Aetna
| Professional | $616.60 | $616.60 | $812.83 | |
BCBS
| Facility | $851.14 | $1,513.56 | $2,238.72 | |
United
| Facility | $616.60 | $1,047.13 | $1,862.09 |