| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $2,754.23 | $6,606.93 | |
Aetna
| Professional | $3,715.35 | $11,220.18 | $11,220.18 | |
BCBS
| Facility | $4,466.84 | $7,762.47 | $11,220.18 | |
United
| Facility | $831.76 | $2,754.23 | $7,762.47 |