| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $2,691.53 | $4,365.16 | |
Aetna
| Professional | $660.69 | $660.69 | $660.69 | |
BCBS
| Facility | $1,318.26 | $2,691.53 | $3,981.07 | |
United
| Facility | $467.74 | $1,584.89 | $3,981.07 |