| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $1,659.59 | $2,344.23 | |
Aetna
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
BCBS
| Facility | $3,311.31 | $3,981.07 | $5,370.32 | |
United
| Facility | $812.83 | $2,951.21 | $4,365.16 |