| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $6,735.00 | $8,413.00 | |
Aetna
| Professional | $1,020.00 | $6,735.00 | $8,413.00 | |
BCBS
| Professional | $60.00 | $75.00 | $100.00 | |
United
| Facility | $1,598.00 | $18,540.00 | $28,286.00 |