| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $4,265.80 | $10,715.19 | |
BCBS
| Facility | $602.56 | $1,096.48 | $1,862.09 | |
Medcost
| Professional | $120.23 | $120.23 | $120.23 | |
Medcost
| Facility | $41.69 | $66.07 | $97.72 | |
United
| Facility | $380.19 | $1,202.26 | $3,548.13 |