| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,080.00 | $1,475.67 | $6,165.90 | |
Aetna
| Facility | 50 | $2,600.00 | $7,500.00 | $9,687.60 |
BCBS
| Facility | $9,067.32 | $11,003.62 | $14,803.40 | |
United
| Facility | $2,125.00 | $5,085.00 | $9,624.00 |