| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,080.00 | $2,183.15 | $28,011.60 | |
Aetna
| Facility | 52 | $1,091.58 | $1,091.58 | $1,091.58 |
BCBS
| Facility | $5,715.59 | $6,936.13 | $9,331.32 | |
United
| Facility | $1,500.00 | $6,323.00 | $12,422.00 |