| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $7,762.47 | $13,489.63 | |
BCBS
| Facility | $602.56 | $1,096.48 | $1,949.84 | |
Medcost
| Facility | $144.54 | $208.93 | $354.81 | |
United
| Facility | $380.19 | $1,202.26 | $3,548.13 |