| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
Aetna
| Professional | $771.00 | $771.00 | $771.00 | |
BCBS
| Facility | $181.28 | $403.14 | $539.35 | |
United
| Facility | $437.00 | $1,199.00 | $4,915.00 |