| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.56 | $1,268.00 | $2,250.00 | |
Aetna
| Professional | $287.56 | $287.56 | $287.56 | |
BCBS
| Facility | $1,093.71 | $1,327.27 | $1,785.61 | |
United
| Facility | $375.00 | $1,213.00 | $2,488.00 |