| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,032.92 | $1,543.03 | $3,955.04 | |
Aetna
| Facility | 50 | $3,275.36 | $3,275.36 | $3,275.36 |
Aetna
| Professional | 50 | $174.77 | $307.67 | $942.40 |
BCBS
| Facility | $460.73 | $527.53 | $684.85 | |
United
| Facility | $540.00 | $1,401.00 | $4,915.00 |