| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,435.00 | $5,435.00 | $5,435.00 | |
Aetna
| Professional | $1,612.45 | $1,840.09 | $2,219.48 | |
BCBS
| Professional | $345.24 | $345.24 | $959.98 | |
United
| Professional | $796.74 | $1,043.34 | $1,138.20 |