| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,250.00 | |
BCBS
| Facility | $8,550.48 | $10,351.04 | $13,925.47 | |
BCBS
| Facility | 50 | $12,825.72 | $15,526.56 | $20,888.20 |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |