| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.45 | $3,776.00 | $9,727.00 | |
BCBS
| Facility | $611.99 | $1,136.88 | $1,952.01 | |
Medcost
| Facility | $100.36 | $127.02 | $164.74 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |