| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,268.00 | $2,250.00 | |
Aetna
| Professional | $1,201.78 | $1,201.78 | $1,201.78 | |
BCBS
| Facility | $1,862.76 | $2,260.55 | $3,041.17 | |
United
| Facility | $250.00 | $946.00 | $1,673.00 |