| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.00 | $960.00 | $2,250.00 | |
BCBS
| Facility | $23,864.11 | $28,889.41 | $38,865.50 | |
BCBS
| Facility | 50 | $35,796.16 | $43,334.11 | $58,298.25 |
United
| Facility | $241.00 | $858.00 | $1,500.00 |