| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.11 | $2,678.00 | $6,681.00 | |
Aetna
| Facility | 50 | $5,135.70 | $5,135.70 | $5,135.70 |
BCBS
| Facility | $1,917.00 | $3,753.00 | $5,959.00 | |
Lucent Health
| Facility | $55.00 | $2,667.84 | $2,722.16 | |
United
| Facility | $2,259.00 | $4,567.00 | $7,669.00 |