| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.86 | $9,062.00 | $22,776.00 | |
BCBS
| Facility | $5,137.35 | $13,752.09 | $23,705.83 | |
Medcost
| Facility | $92.30 | $115.53 | $209.71 | |
United
| Facility | $3,028.00 | $19,627.00 | $25,620.00 |