| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.00 | $2,303.00 | $7,602.00 | |
Aetna
| Professional | $1,367.00 | $3,230.00 | $10,234.00 | |
BCBS
| Facility | $110.00 | $150.00 | $2,430.00 | |
United
| Facility | $294.00 | $814.00 | $2,577.00 |