| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $944.50 | $1,592.27 | $22,871.70 | |
Aetna
| Professional | $1,104.75 | $3,878.77 | $24,178.50 | |
BCBS
| Facility | $17,470.18 | $17,470.18 | $20,964.23 | |
BCBS
| Professional | $713.63 | $1,049.45 | $14,913.62 | |
United
| Facility | $17,180.00 | $17,180.00 | $17,180.00 | |
United
| Professional | $12,307.24 | $17,312.27 | $25,882.34 |