| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $4,897.79 | $16,595.87 | |
BCBS
| Facility | $1,380.38 | $2,630.27 | $4,786.30 | |
Medcost
| Facility | $74.13 | $112.20 | $169.82 | |
United
| Facility | $380.19 | $1,202.26 | $3,548.13 |