| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $875.00 | $1,831.00 | $22,386.90 | |
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
BCBS
| Facility | $8,731.98 | $8,731.98 | $9,605.18 | |
BCBS
| Professional | $14,247.83 | $14,247.83 | $14,247.83 | |
United
| Facility | $1,185.00 | $5,800.00 | $14,043.00 |