| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,215.40 | $2,215.40 | $2,215.40 | |
Aetna
| Professional | $1,728.01 | $1,883.09 | $2,148.94 | |
BCBS
| Professional | $83.60 | $88.00 | $103.84 | |
United
| Professional | $930.47 | $1,240.61 | $1,329.24 |