| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.00 | $1,958.00 | $4,050.00 | |
Aetna
| Professional | $665.00 | $3,212.00 | $5,607.00 | |
BCBS
| Facility | $203.18 | $448.24 | $6,085.39 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |