| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $667.02 | $667.02 | $667.02 | |
BCBS
| Professional | $1,730.00 | $2,797.00 | $3,356.00 | |
United
| Facility | $4,200.00 | $4,200.00 | $14,634.00 | |
United
| Professional | $910.92 | $1,461.85 | $2,859.98 |