| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,445.44 | $1,862.09 | |
BCBS
| Facility | $870.96 | $1,047.13 | $1,412.54 | |
BCBS
| Facility | 50 | $1,318.26 | $1,548.82 | $2,089.30 |
United
| Facility | $251.19 | $549.54 | $1,348.96 |