| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
Aetna
| Professional | $1,819.70 | $2,511.89 | $3,630.78 | |
BCBS
| Professional | $354.81 | $436.52 | $512.86 | |
United
| Professional | $1,288.25 | $1,659.59 | $1,819.70 |