| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $305.89 | $1,001.20 | $3,396.15 | |
Aetna
| Facility | 52 | $152.94 | $152.94 | $370.82 |
BCBS
| Facility | $2,185.94 | $2,652.75 | $3,568.80 | |
United
| Facility | $1,124.00 | $3,384.00 | $5,251.00 |