| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,277.00 | $1,821.00 | $9,034.00 | |
Aetna
| Facility | 52 | $855.35 | $948.02 | $1,276.51 |
BCBS
| Facility | $2,518.88 | $2,518.88 | $3,022.66 | |
United
| Facility | $980.00 | $1,650.00 | $4,233.00 |