| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.00 | $1,100.00 | $2,250.00 | |
BCBS
| Facility | $848.16 | $1,026.77 | $1,381.33 | |
BCBS
| Facility | 50 | $1,272.24 | $1,540.15 | $2,071.98 |
United
| Facility | $241.00 | $850.00 | $1,323.00 |