| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.04 | $4,677.35 | $9,772.37 | |
BCBS
| Facility | $977.24 | $2,398.83 | $4,265.80 | |
Medcost
| Facility | $53.70 | $85.11 | $144.54 | |
United
| Facility | $380.19 | $1,202.26 | $3,548.13 |