| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $1,023.29 | $3,981.07 | |
Aetna
| Facility | 50 | $3,311.31 | $3,311.31 | $3,311.31 |
Aetna
| Professional | 50 | $186.21 | $407.38 | $933.25 |
BCBS
| Facility | $457.09 | $549.54 | $691.83 | |
United
| Facility | $436.52 | $1,412.54 | $6,456.54 |