| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $13,489.63 | $22,908.68 | |
BCBS
| Facility | $5,370.32 | $13,489.63 | $23,988.33 | |
Medcost
| Facility | $87.10 | $123.03 | $208.93 | |
United
| Facility | $8,709.64 | $19,952.62 | $25,703.96 |