| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.08 | $885.00 | $1,768.00 | |
Aetna
| Facility | 53 | $62.22 | $155.53 | $313.66 |
BCBS
| Facility | $1,292.50 | $1,568.51 | $2,110.16 | |
United
| Facility | $500.00 | $1,754.00 | $3,200.00 |