| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,023.29 | $1,513.56 | $2,398.83 | |
BCBS
| Facility | $2,818.38 | $3,388.44 | $4,570.88 | |
BCBS
| Facility | 50 | $4,265.80 | $5,011.87 | $6,760.83 |
United
| Facility | $831.76 | $2,951.21 | $4,365.16 |