| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $497.00 | $1,300.00 | $3,685.00 | |
Aetna
| Professional | $545.00 | $1,638.00 | $3,779.00 | |
BCBS
| Facility | $4,766.52 | $8,968.25 | $12,555.22 | |
United
| Facility | $1,284.00 | $6,711.00 | $12,805.00 |