| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,380.38 | $1,548.82 | |
Aetna
| Professional | $575.44 | $616.60 | $1,380.38 | |
BCBS
| Facility | $977.24 | $1,023.29 | $1,023.29 | |
BCBS
| Professional | $1,380.38 | $1,380.38 | $1,380.38 | |
United
| Facility | $691.83 | $691.83 | $912.01 | |
United
| Professional | $316.23 | $457.09 | $1,698.24 |