| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $383.56 | $1,251.00 | $2,080.00 | |
BCBS
| Facility | $1,014.54 | $1,228.18 | $1,652.30 | |
BCBS
| Facility | 50 | $1,521.81 | $1,842.27 | $2,478.44 |
United
| Facility | $1,124.00 | $3,469.00 | $5,180.00 |