| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.34 | $4,230.00 | $9,870.00 | |
BCBS
| Facility | $914.99 | $2,351.92 | $4,036.79 | |
Medcost
| Facility | $80.14 | $110.52 | $169.30 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |