| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $781.00 | $1,678.00 | $2,250.00 | |
BCBS
| Facility | $1,226.08 | $1,484.28 | $1,996.84 | |
BCBS
| Facility | 50 | $1,839.14 | $2,226.42 | $2,995.25 |
United
| Facility | $625.00 | $1,768.00 | $3,360.00 |