| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $696.96 | $1,251.00 | $2,639.00 | |
BCBS
| Facility | $2,082.64 | $2,521.19 | $3,391.83 | |
BCBS
| Facility | 50 | $3,123.96 | $3,781.80 | $5,087.72 |
United
| Facility | $834.00 | $3,088.00 | $4,949.00 |