| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,445.44 | $1,862.09 | |
BCBS
| Facility | $2,089.30 | $2,454.71 | $3,311.31 | |
BCBS
| Facility | 50 | $3,090.30 | $3,715.35 | $5,011.87 |
United
| Facility | $645.65 | $1,737.80 | $3,090.30 |