| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,715.35 | $3,981.07 | $3,981.07 | |
Aetna
| Professional | $83.18 | $83.18 | $162.18 | |
BCBS
| Facility | $5,495.41 | $8,128.31 | $10,715.19 | |
United
| Facility | $3,235.94 | $7,413.10 | $13,182.57 | |
United
| Professional | $134.90 | $213.80 | $338.84 |