| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $1,445.44 | $2,398.83 | |
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 | $1,096.48 | $3,630.78 | $5,128.61 |