| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $660.69 | $1,819.70 | $2,511.89 | |
Aetna
| Facility | 50 | $776.25 | $912.01 | $6,309.57 |
BCBS
| Facility | $6,309.57 | $6,309.57 | $8,709.64 | |
United
| Facility | $1,230.27 | $2,951.21 | $11,220.18 |