| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $781.00 | $1,525.00 | $2,250.00 | |
BCBS
| Facility | $2,597.69 | $3,144.71 | $4,230.64 | |
BCBS
| Facility | 50 | $3,896.53 | $4,717.06 | $6,345.96 |
United
| Facility | $834.00 | $3,081.00 | $4,325.00 |