| 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 | $18,028.12 | |
BCBS
| Facility | $15,718.40 | $27,456.60 | $39,732.69 | |
United
| Facility | $1,215.00 | $8,932.00 | $19,270.00 |