| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $586.22 | $1,268.00 | $2,080.00 | |
Aetna
| Facility | 52 | $217.12 | $217.12 | $217.12 |
BCBS
| Facility | $4,894.66 | $5,939.90 | $7,991.07 | |
United
| Facility | $950.00 | $3,129.00 | $5,180.00 |