| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $3,135.99 | |
Aetna
| Professional | $3,135.99 | $3,135.99 | $3,135.99 | |
BCBS
| Facility | $6,623.49 | $8,037.91 | $10,813.57 | |
United
| Facility | $650.00 | $1,754.00 | $4,083.00 |