| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.00 | $1,251.00 | $2,080.00 | |
Aetna
| Facility | 54 | $460.85 | $460.85 | $704.65 |
BCBS
| Facility | $1,223.08 | $1,484.28 | $1,996.84 | |
United
| Facility | $241.00 | $850.00 | $1,323.00 |