| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.25 | $2,570.40 | $4,897.79 | |
Aetna
| Professional | $1,122.02 | $1,445.44 | $3,715.35 | |
BCBS
| Facility | $4,677.35 | $7,943.28 | $11,220.18 | |
United
| Facility | $1,148.15 | $5,248.07 | $11,748.98 |