| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,251.00 | $2,250.00 | |
Aetna
| Facility | 50 | $1,921.84 | $9,453.14 | $30,551.04 |
BCBS
| Facility | $9,067.32 | $11,003.62 | $14,803.40 | |
United
| Facility | $1,485.00 | $4,121.00 | $7,227.00 |