| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $891.25 | $1,071.52 | |
Aetna
| Professional | $467.74 | $588.84 | $891.25 | |
BCBS
| Facility | $794.33 | $794.33 | $1,096.48 | |
BCBS
| Professional | $630.96 | $630.96 | $954.99 | |
United
| Professional | $295.12 | $416.87 | $707.95 |