| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $954.99 | $1,445.44 | $2,398.83 | |
Aetna
| Facility | 50 | $2,754.23 | $5,128.61 | $9,549.93 |
BCBS
| Facility | $9,332.54 | $11,220.18 | $15,135.61 | |
United
| Facility | $2,454.71 | $5,495.41 | $9,772.37 |