| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.46 | $1,399.00 | $2,250.00 | |
BCBS
| Facility | $3,926.71 | $4,753.60 | $6,395.11 | |
BCBS
| Facility | 50 | $5,890.06 | $7,130.39 | $9,592.66 |
United
| Facility | $950.00 | $3,129.00 | $5,251.00 |