| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,552.85 | $2,250.00 | |
BCBS
| Facility | $2,209.40 | $2,674.66 | $3,598.28 | |
BCBS
| Facility | 50 | $3,314.10 | $4,011.99 | $5,397.41 |
United
| Facility | $1,124.00 | $3,384.00 | $5,251.00 |