| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $1,445.44 | $2,238.72 | |
BCBS
| Facility | $4,073.80 | $4,786.30 | $6,456.54 | |
BCBS
| Facility | 50 | $6,025.60 | $7,244.36 | $9,772.37 |
United
| Facility | $812.83 | $2,884.03 | $4,168.69 |