| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,574.65 | $4,685.85 | $5,149.30 | |
Aetna
| Professional | $2,033.97 | $4,685.85 | $5,149.30 | |
BCBS
| Facility | $2,574.65 | $2,574.65 | $2,574.65 | |
BCBS
| Professional | $2,574.65 | $2,574.65 | $2,574.65 | |
United
| Professional | $1,081.34 | $1,544.79 | $4,131.14 |