| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.59 | $3,467.75 | $13,538.22 | |
BCBS
| Facility | $602.94 | $1,150.29 | $1,973.56 | |
Medcost
| Facility | $155.26 | $237.58 | $355.09 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |