| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,224.60 | $9,508.77 | $10,449.20 | |
Aetna
| Professional | $4,127.43 | $9,508.77 | $10,449.20 | |
BCBS
| Facility | $5,224.60 | $5,224.60 | $5,224.60 | |
BCBS
| Professional | $5,224.60 | $5,224.60 | $5,224.60 | |
United
| Professional | $2,194.33 | $3,134.76 | $7,836.90 |