| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $562.00 | $2,418.00 | $4,392.00 | |
Aetna
| Professional | $447.82 | $506.06 | $576.91 | |
BCBS
| Facility | $22,397.18 | $37,809.72 | $55,208.91 | |
United
| Facility | $1,975.00 | $19,150.00 | $45,385.00 | |
United
| Professional | $483.31 | $752.45 | $1,087.18 |