| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $1,399.00 | $4,665.96 | |
BCBS
| Facility | $4,568.16 | $5,530.12 | $7,439.78 | |
BCBS
| Facility | 50 | $6,852.23 | $8,295.17 | $11,159.67 |
United
| Facility | $1,124.00 | $3,384.00 | $5,251.00 |