| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.17 | $927.00 | $2,639.00 | |
BCBS
| Facility | $1,317.51 | $1,594.95 | $2,145.71 | |
BCBS
| Facility | 50 | $1,976.26 | $2,392.42 | $3,218.58 |
United
| Facility | $625.00 | $1,768.00 | $3,360.00 |