| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $850.00 | $1,336.50 | $2,080.00 | |
Aetna
| Facility | 50 | $3,427.30 | $3,427.30 | $5,991.47 |
BCBS
| Facility | $2,921.84 | $3,545.79 | $4,770.22 | |
United
| Facility | $834.00 | $2,891.00 | $4,402.00 |