| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $805.20 | $1,268.00 | $2,250.00 | |
Aetna
| Professional | $805.20 | $805.20 | $805.20 | |
BCBS
| Facility | $4,151.58 | $5,038.13 | $6,777.90 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |