| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $1,819.70 | $2,511.89 | |
Aetna
| Professional | $173.78 | $257.04 | $323.59 | |
BCBS
| Facility | $4,897.79 | $4,897.79 | $6,760.83 | |
United
| Facility | $1,548.82 | $4,073.80 | $11,748.98 | |
United
| Professional | $251.19 | $363.08 | $575.44 |