| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $2,691.53 | $2,691.53 | |
Aetna
| Professional | $398.11 | $416.87 | $489.78 | |
BCBS
| Facility | $616.60 | $691.83 | $741.31 | |
BCBS
| Professional | $794.33 | $794.33 | $794.33 | |
United
| Facility | $724.44 | $724.44 | $724.44 | |
United
| Professional | $251.19 | $363.08 | $870.96 |