| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,019.15 | $2,250.00 | $16,293.81 | |
Aetna
| Facility | 52 | $509.58 | $509.58 | $509.58 |
BCBS
| Facility | $4,958.18 | $6,017.00 | $8,094.79 | |
United
| Facility | $2,125.00 | $5,085.00 | $9,624.00 |