| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $2,691.53 | $3,162.28 | $4,265.80 | |
BCBS
| Facility | 50 | $3,981.07 | $4,786.30 | $6,456.54 |
United
| Facility | $812.83 | $2,754.23 | $3,981.07 |