| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $2,691.53 | $4,365.16 | |
Aetna
| Professional | $12.88 | $57.54 | $74.13 | |
BCBS
| Facility | $4,168.69 | $7,762.47 | $12,022.64 | |
United
| Facility | $1,148.15 | $5,128.61 | $11,220.18 | |
United
| Professional | $29.51 | $53.70 | $120.23 |