| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $739.00 | $2,562.00 | $4,509.00 | |
Aetna
| Professional | $3,072.00 | $3,685.00 | $10,895.24 | |
BCBS
| Facility | $9,770.75 | $17,160.37 | $24,840.21 | |
United
| Facility | $1,215.00 | $8,932.00 | $19,270.00 |