| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $716.61 | $716.61 | $716.61 | |
BCBS
| Professional | $2,121.00 | $3,429.00 | $4,115.00 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 | |
United
| Professional | $798.28 | $1,395.99 | $2,262.88 |