| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $580.00 | $1,544.00 | $3,779.00 | |
Aetna
| Professional | $1,575.67 | $2,698.00 | $3,779.00 | |
BCBS
| Facility | $1,937.39 | $3,603.62 | $6,382.38 | |
United
| Facility | $470.00 | $1,429.00 | $4,010.00 |