| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $762.00 | $2,418.00 | $4,697.00 | |
Aetna
| Professional | $665.00 | $3,236.00 | $5,607.00 | |
BCBS
| Facility | $4,655.82 | $7,875.56 | $11,218.36 | |
United
| Facility | $1,141.00 | $4,717.00 | $10,810.00 |