| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,201.96 | $7,799.00 | $16,639.00 | |
BCBS
| Facility | $2,582.61 | $5,644.35 | $10,970.79 | |
Medcost
| Facility | $980.52 | $1,423.00 | $2,162.66 | |
United
| Facility | $2,155.00 | $12,798.00 | $19,665.00 |