| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $329.27 | $1,074.00 | $3,308.00 | |
Aetna
| Facility | 52 | $164.64 | $246.95 | $822.24 |
BCBS
| Facility | $3,390.44 | $3,390.44 | $4,068.53 | |
United
| Facility | $980.00 | $1,825.00 | $4,233.00 |