| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.93 | $1,268.00 | $9,136.87 | |
BCBS
| Facility | $1,548.13 | $1,874.14 | $2,521.32 | |
BCBS
| Facility | 50 | $2,322.19 | $2,811.20 | $3,781.97 |
United
| Facility | $375.00 | $1,213.00 | $2,488.00 |