| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,639.00 | |
BCBS
| Facility | $4,674.66 | $5,659.05 | $7,613.24 | |
BCBS
| Facility | 50 | $7,011.99 | $8,488.58 | $11,419.85 |
United
| Facility | $1,124.00 | $3,614.00 | $5,251.00 |