| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,258.00 | $4,341.45 | $10,746.00 | |
Aetna
| Professional | $4,069.00 | $10,234.00 | $10,746.00 | |
BCBS
| Facility | $1,917.00 | $3,753.00 | $5,878.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $2,791.00 | $4,750.00 | $8,086.00 |