| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $4,897.79 | |
Aetna
| Professional | $1,380.38 | $1,513.56 | $2,691.53 | |
BCBS
| Professional | $1,318.26 | $1,513.56 | $1,778.28 | |
United
| Professional | $1,047.13 | $1,412.54 | $1,513.56 |