| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.00 | $1,053.89 | $2,250.00 | |
BCBS
| Facility | $2,014.42 | $2,438.62 | $3,280.73 | |
BCBS
| Facility | 50 | $3,021.64 | $3,657.94 | $4,921.10 |
United
| Facility | $625.00 | $1,825.00 | $3,360.00 |