| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,380.38 | $6,918.31 | $8,709.64 | |
Aetna
| Professional | $1,288.25 | $1,659.59 | $8,317.64 | |
BCBS
| Professional | $75.86 | $75.86 | $100.00 | |
United
| Facility | $2,041.74 | $22,908.68 | $58,884.37 |