| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,467.37 | $4,265.80 | $4,677.35 | |
BCBS
| Professional | $6,309.57 | $6,309.57 | $6,309.57 | |
United
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
United
| Professional | $2,089.30 | $2,089.30 | $5,011.87 |