| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,663.50 | $1,663.50 | $1,713.40 | |
BCBS
| Facility | $5,555.55 | $5,555.55 | $5,555.55 | |
BCBS
| Professional | $4,810.00 | $4,810.00 | $4,810.00 | |
United
| Professional | $887.20 | $1,565.64 | $3,914.10 |