| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.54 | $4,230.00 | $9,870.00 | |
BCBS
| Facility | $1,408.82 | $2,617.13 | $4,077.63 | |
Medcost
| Facility | $70.43 | $98.78 | $147.94 | |
United
| Facility | $659.00 | $6,607.00 | $8,667.00 |