| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.82 | $3,776.00 | $9,727.00 | |
BCBS
| Facility | $602.94 | $1,136.88 | $1,952.01 | |
Medcost
| Facility | $88.02 | $121.40 | $159.30 | |
Medcost
| Facility | 80 | $21.59 | $24.28 | $31.86 |
Medcost
| Facility | AS | $15.11 | $17.00 | $22.30 |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |