| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,518.41 | $3,456.50 | $3,955.04 | |
Aetna
| Professional | $771.00 | $771.00 | $771.00 | |
BCBS
| Facility | $390.93 | $568.09 | $653.96 | |
United
| Facility | $437.00 | $1,183.00 | $3,774.00 |