| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,238.72 | $2,238.72 | $2,238.72 | |
Aetna
| Professional | $1,202.26 | $1,737.80 | $2,570.40 | |
BCBS
| Professional | $83.18 | $87.10 | $104.71 | |
United
| Professional | $933.25 | $1,230.27 | $1,318.26 |