| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $543.79 | $1,268.00 | $2,902.31 | |
Aetna
| Facility | 52 | $201.41 | $201.41 | $1,074.93 |
BCBS
| Facility | $4,535.35 | $5,503.86 | $7,404.45 | |
United
| Facility | $750.00 | $2,739.00 | $4,402.00 |