| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.21 | $7,838.38 | $7,838.38 | |
Aetna
| Facility | 53 | $102.44 | $102.44 | $102.44 |
BCBS
| Facility | $29,975.73 | $36,271.21 | $81,099.99 | |
United
| Facility | $9,028.00 | $28,286.00 | $28,286.00 |