| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.56 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $287.56 | $287.56 | $287.56 | |
BCBS
| Facility | $876.73 | $1,611.16 | $2,608.36 | |
United
| Facility | $341.00 | $1,086.00 | $2,271.00 |