| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $3,722.59 | |
Aetna
| Facility | 52 | $1,861.30 | $1,861.30 | $1,861.30 |
BCBS
| Facility | $6,718.36 | $8,153.05 | $10,968.47 | |
United
| Facility | $657.00 | $1,826.00 | $5,314.00 |