| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.88 | $3,776.00 | $9,727.00 | |
BCBS
| Facility | $584.09 | $1,063.98 | $1,835.00 | |
Medcost
| Facility | $141.74 | $173.51 | $225.94 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |