| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,250.00 | |
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
BCBS
| Facility | $7,444.66 | $9,034.45 | $12,154.22 | |
United
| Facility | $1,404.00 | $4,852.00 | $9,624.00 |