| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,995.26 | $3,235.94 | |
Aetna
| Facility | 50 | $2,398.83 | $2,398.83 | $2,398.83 |
BCBS
| Facility | $4,466.84 | $5,248.07 | $7,079.46 | |
United
| Facility | $2,454.71 | $5,495.41 | $9,549.93 |