| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.00 | $1,300.00 | $3,685.00 | |
Aetna
| Professional | $1,689.52 | $1,689.53 | $1,689.53 | |
BCBS
| Facility | $164.54 | $306.80 | $443.92 | |
United
| Facility | $194.00 | $513.00 | $1,226.00 |