| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $2,511.89 | $2,511.89 | |
Aetna
| Professional | $1,380.38 | $1,513.56 | $3,019.95 | |
BCBS
| Professional | $1,318.26 | $1,513.56 | $1,778.28 | |
United
| Professional | $1,047.13 | $1,380.38 | $1,513.56 |