| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 50 | $2,137.38 | $2,137.38 | $2,137.38 |
Aetna
| Professional | 50 | $5,698.36 | $5,698.36 | $5,698.36 |
BCBS
| Professional | 50 | $1,144.50 | $1,671.00 | $2,005.50 |
United
| Facility | $2,607.00 | $2,607.00 | $10,877.00 |