| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
Aetna
| Professional | $53.29 | $98.50 | $112.37 | |
BCBS
| Facility | $371.03 | $371.03 | $412.26 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 | |
United
| Professional | $84.17 | $139.02 | $214.63 |