| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,251.00 | $2,250.00 | |
Aetna
| Professional | $65.00 | $65.00 | $65.00 | |
BCBS
| Facility | $2,976.24 | $3,611.81 | $4,859.05 | |
United
| Facility | $1,500.00 | $4,997.00 | $9,102.00 |