| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.00 | $2,125.00 | $4,878.00 | |
Aetna
| Professional | $665.00 | $3,236.00 | $5,607.00 | |
BCBS
| Facility | $4,593.96 | $7,832.07 | $11,085.63 | |
United
| Facility | $1,173.00 | $6,164.00 | $12,795.57 |