| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,398.83 | $2,398.83 | $2,398.83 | |
Aetna
| Professional | $1,174.90 | $1,258.93 | $1,258.93 | |
BCBS
| Facility | $2,691.53 | $2,818.38 | $3,162.28 | |
United
| Facility | $12.88 | $12.88 | $12.88 |