| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,481.54 | $11,481.54 | $11,481.54 | |
Aetna
| Professional | $1,659.59 | $1,778.28 | $1,862.09 | |
BCBS
| Professional | $3,311.31 | $3,311.31 | $3,311.31 | |
United
| Professional | $1,230.27 | $1,513.56 | $3,981.07 |