| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,100.00 | $2,000.00 | $8,258.24 | |
Aetna
| Facility | 22 | $4,504.50 | $4,504.50 | $4,504.50 |
BCBS
| Facility | $6,718.36 | $8,153.05 | $10,968.47 | |
United
| Facility | $2,125.00 | $5,085.00 | $9,624.00 |