| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,511.38 | $8,511.38 | $8,511.38 | |
Aetna
| Professional | $1,258.93 | $1,318.26 | $1,412.54 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $933.25 | $1,148.15 | $5,495.41 |