| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,886.27 | $4,886.27 | $4,886.27 | |
BCBS
| Professional | $11,088.00 | $12,503.00 | $15,004.00 | |
United
| Facility | $1,275.00 | $1,275.00 | $3,239.00 | |
United
| Professional | $4,227.77 | $11,147.73 | $19,737.95 |