| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $678.00 | $2,756.00 | $4,050.00 | |
Aetna
| Professional | $665.00 | $3,212.00 | $3,779.00 | |
BCBS
| Facility | $2,878.74 | $4,789.72 | $10,923.70 | |
United
| Facility | $385.00 | $1,309.00 | $7,168.00 |