| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $739.42 | $1,520.00 | $7,500.00 | |
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 | $1,485.00 | $4,121.00 | $7,227.00 |