| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $5,754.40 | $6,309.57 | |
Aetna
| Professional | $2,344.23 | $2,570.40 | $5,754.40 | |
BCBS
| Facility | $4,073.80 | $4,265.80 | $4,265.80 | |
United
| Facility | $2,818.38 | $2,818.38 | $3,801.89 | |
United
| Professional | $1,318.26 | $1,905.46 | $7,079.46 |