| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,223.00 | $2,250.00 | |
BCBS
| Facility | $6,288.51 | $7,612.74 | $10,241.58 | |
BCBS
| Facility | 50 | $9,432.76 | $11,419.11 | $15,362.36 |
United
| Facility | $834.00 | $2,769.00 | $4,402.00 |