| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $2,781.00 | $6,698.00 | |
Aetna
| Professional | $665.00 | $3,685.00 | $9,894.00 | |
BCBS
| Facility | $4,593.96 | $7,832.07 | $11,085.63 | |
United
| Facility | $1,141.00 | $4,717.00 | $10,810.00 |