| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $615.00 | $927.00 | $2,250.00 | |
Aetna
| Facility | 54 | $490.79 | $490.79 | $490.79 |
BCBS
| Facility | $1,317.51 | $1,594.95 | $2,145.71 | |
United
| Facility | $625.00 | $1,783.00 | $3,360.00 |