| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,630.78 | $5,754.40 | $5,754.40 | |
Aetna
| Professional | $831.76 | $891.25 | $1,047.13 | |
BCBS
| Facility | $1,548.82 | $1,548.82 | $1,548.82 | |
United
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
United
| Professional | $524.81 | $758.58 | $1,819.70 |