| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $841.00 | $2,562.00 | $5,260.00 | |
Aetna
| Professional | $665.00 | $3,779.00 | $11,103.76 | |
BCBS
| Facility | $4,440.89 | $7,711.78 | $11,158.30 | |
United
| Facility | $746.00 | $2,415.00 | $6,585.00 |