| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,126.19 | $3,869.68 | $4,252.39 | |
Aetna
| Professional | $1,679.70 | $3,869.68 | $4,252.39 | |
BCBS
| Facility | $41.00 | $41.00 | $41.00 | |
BCBS
| Professional | $41.00 | $41.00 | $41.00 | |
United
| Professional | $893.00 | $1,275.72 | $3,189.30 |