| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $461.19 | $1,268.00 | $4,362.77 | |
Aetna
| Facility | 52 | $230.60 | $230.60 | $230.60 |
BCBS
| Facility | $1,273.48 | $1,545.43 | $2,079.10 | |
United
| Facility | $500.00 | $1,754.00 | $3,200.00 |