| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.77 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $148.05 | $151.07 | $172.22 | |
BCBS
| Facility | $4,135.14 | $7,795.18 | $11,905.69 | |
United
| Facility | $1,141.00 | $4,717.00 | $10,810.00 | |
United
| Professional | $143.30 | $219.05 | $313.70 |