| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $6,264.54 | $13,515.69 | $22,725.74 | |
BCBS
| Professional | $645.77 | $808.00 | $1,420.71 | |
Medcost
| Facility | $886.69 | $967.33 | $1,701.68 | |
Medcost
| Professional | $6,547.98 | $6,547.98 | $6,547.98 | |
United
| Professional | $400.00 | $712.00 | $1,196.01 |