| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $655.61 | $2,562.00 | $4,050.00 | |
Aetna
| Professional | $655.61 | $655.61 | $655.61 | |
BCBS
| Facility | $1,330.58 | $2,697.20 | $4,016.41 | |
United
| Facility | $470.00 | $1,433.00 | $4,010.00 |