| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.96 | $1,100.00 | $2,250.00 | |
Aetna
| Facility | 52 | $176.98 | $176.98 | $176.98 |
BCBS
| Facility | $6,921.39 | $8,399.43 | $11,299.92 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |