| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $4,376.00 | $7,968.00 | |
Aetna
| Professional | $901.00 | $4,376.00 | $7,278.00 | |
BCBS
| Professional | $60.00 | $75.00 | $100.00 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,780.00 |