| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,593.94 | |
BCBS
| Facility | $9,089.54 | $11,003.62 | $14,803.40 | |
BCBS
| Facility | 50 | $13,634.32 | $16,505.43 | $22,205.10 |
United
| Facility | $1,485.00 | $4,106.00 | $7,227.00 |