| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.00 | $2,101.00 | $9,477.00 | |
Aetna
| Facility | 52 | $979.57 | $979.57 | $1,469.36 |
BCBS
| Facility | $13,270.34 | $13,270.34 | $15,924.41 | |
United
| Facility | $1,565.00 | $2,828.00 | $6,957.00 |