| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
Aetna
| Professional | $5.71 | $28.00 | $28.00 | |
BCBS
| Facility | $12.04 | $14.63 | $17.50 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $5.49 | $7.21 | $10.38 |