| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.68 | $707.95 | $707.95 | |
Aetna
| Professional | $102.33 | $109.65 | $128.82 | |
BCBS
| Facility | $162.18 | $181.97 | $194.98 | |
BCBS
| Professional | $208.93 | $208.93 | $208.93 | |
United
| Facility | $186.21 | $186.21 | $186.21 | |
United
| Professional | $66.07 | $93.33 | $223.87 |