| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,525.00 | $2,250.00 | |
BCBS
| Facility | $4,634.74 | $5,610.73 | $7,548.23 | |
BCBS
| Facility | 50 | $6,952.12 | $8,416.09 | $11,322.34 |
United
| Facility | $1,485.00 | $4,121.00 | $7,227.00 |