| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $903.00 | $4,311.00 | $7,968.00 | |
Aetna
| Professional | $689.00 | $1,615.00 | $5,449.00 | |
BCBS
| Professional | $49.76 | $49.76 | $49.76 | |
United
| Facility | $206.00 | $896.00 | $2,229.00 |