| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.26 | $1,269.29 | $7,799.00 | |
Aetna
| Facility | 52 | $57.56 | $134.22 | $1,839.50 |
BCBS
| Facility | $1,129.77 | $2,331.96 | $4,036.79 | |
Medcost
| Facility | $115.11 | $1,288.08 | $2,468.55 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |