| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,801.89 | $6,025.60 | $6,025.60 | |
Aetna
| Professional | $870.96 | $933.25 | $1,096.48 | |
BCBS
| Facility | $1,659.59 | $1,659.59 | $1,659.59 | |
United
| Professional | $562.34 | $794.33 | $1,905.46 |