| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $781.00 | $1,525.00 | $2,250.00 | |
Aetna
| Professional | $291.13 | $291.13 | $329.55 | |
BCBS
| Facility | $11,049.26 | $13,408.80 | $18,039.12 | |
United
| Facility | $1,500.00 | $6,323.00 | $12,422.00 | |
United
| Professional | $324.52 | $445.94 | $679.35 |