| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $6,735.00 | $8,413.00 | |
Aetna
| Professional | $1,245.00 | $6,735.00 | $8,413.00 | |
BCBS
| Professional | $49.76 | $75.00 | $100.00 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 |