| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,639.00 | |
BCBS
| Facility | $7,089.68 | $8,582.62 | $11,546.38 | |
BCBS
| Facility | 50 | $10,634.52 | $12,873.94 | $17,319.57 |
United
| Facility | $2,125.00 | $5,085.00 | $9,624.00 |