| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $763.58 | $1,678.00 | $2,834.11 | |
Aetna
| Facility | 50 | $2,910.59 | $4,352.39 | $7,374.90 |
BCBS
| Facility | $4,311.29 | $5,231.95 | $7,038.65 | |
United
| Facility | $1,485.00 | $4,121.00 | $7,227.00 |