| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $674.20 | $1,251.00 | $2,250.00 | |
Aetna
| Facility | 50 | $821.70 | $1,900.00 | $9,687.60 |
BCBS
| Facility | $4,311.29 | $5,231.95 | $7,038.65 | |
United
| Facility | $1,124.00 | $3,384.00 | $5,251.00 |