| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $2,511.89 | $4,897.79 | |
Aetna
| Professional | $660.69 | $3,715.35 | $5,623.41 | |
BCBS
| Facility | $4,570.88 | $7,762.47 | $10,964.78 | |
United
| Facility | $1,148.15 | $5,248.07 | $11,748.98 |