| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.85 | $1,223.00 | $1,896.00 | |
BCBS
| Facility | $1,271.34 | $1,539.07 | $2,070.54 | |
BCBS
| Facility | 50 | $1,907.02 | $2,308.60 | $3,105.80 |
United
| Facility | $375.00 | $1,234.00 | $2,481.00 |