| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,290.87 | $4,073.80 | |
Aetna
| Professional | $1,737.80 | $2,691.53 | $4,073.80 | |
BCBS
| Facility | $2,238.72 | $7,943.28 | $13,489.63 | |
United
| Facility | $3,981.07 | $7,585.78 | $12,302.69 |