| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $560.00 | $1,238.00 | $2,639.00 | |
BCBS
| Facility | $1,533.43 | $1,856.34 | $2,497.38 | |
BCBS
| Facility | 50 | $2,300.15 | $2,784.52 | $3,746.07 |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |