| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,201.00 | $1,201.00 | $1,201.00 | |
BCBS
| Professional | $45.60 | $49.76 | $100.00 | |
Medcost
| Facility | $900.75 | $900.75 | $1,201.00 | |
United
| Facility | $1,387.73 | $1,387.73 | $1,387.73 |