| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $6,760.83 | $8,709.64 | |
Aetna
| Professional | $1,202.26 | $1,659.59 | $7,244.36 | |
BCBS
| Professional | $75.86 | $75.86 | $100.00 | |
United
| Facility | $1,819.70 | $7,413.10 | $14,454.40 |