| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $349.62 | $402.06 | $699.24 | |
Aetna
| Professional | $297.18 | $297.18 | $297.18 | |
BCBS
| Facility | $158.15 | $191.92 | $258.19 | |
BCBS
| Professional | $217.40 | $264.04 | $311.57 | |
United
| Facility | $125.86 | $125.86 | $314.66 | |
United
| Professional | $146.84 | $146.84 | $349.62 |