| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $3,162.28 | $3,162.28 | |
Aetna
| Professional | $467.74 | $489.78 | $524.81 | |
BCBS
| Professional | $933.25 | $933.25 | $933.25 | |
United
| Professional | $295.12 | $426.58 | $1,023.29 |