| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $3,511.21 | |
BCBS
| Facility | $27,567.03 | $33,372.10 | $44,896.15 | |
BCBS
| Facility | 50 | $41,350.55 | $50,058.15 | $67,344.23 |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |