| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.29 | $1,005.90 | $9,062.00 | |
BCBS
| Facility | $1,243.00 | $2,530.57 | $4,077.63 | |
Medcost
| Facility | $74.89 | $111.25 | $150.69 | |
United
| Facility | $384.00 | $1,138.00 | $2,922.00 |