| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,250.00 | |
Aetna
| Facility | 52 | $1,053.26 | $1,053.26 | $1,053.26 |
BCBS
| Facility | $4,958.18 | $6,017.00 | $8,094.79 | |
United
| Facility | $650.00 | $1,754.00 | $4,083.00 |