| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $4,937.68 | |
Aetna
| Professional | $771.00 | $771.00 | $2,750.00 | |
BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Facility | $1,649.00 | $2,257.00 | $6,383.00 |