| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $5,248.07 | $8,709.64 | |
Aetna
| Professional | $933.25 | $1,659.59 | $5,495.41 | |
BCBS
| Professional | $75.86 | $75.86 | $100.00 | |
United
| Facility | $501.19 | $1,148.15 | $3,890.45 |