| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $833.15 | $833.15 | $833.15 | |
BCBS
| Professional | $2,632.00 | $4,255.00 | $5,106.00 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 | |
United
| Professional | $993.02 | $1,695.43 | $2,814.93 |