| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $8,369.00 | $13,764.00 | |
Aetna
| Professional | $618.00 | $1,615.00 | $13,764.00 | |
BCBS
| Professional | $60.00 | $75.00 | $100.00 | |
United
| Facility | $806.00 | $3,994.00 | $6,543.00 |