| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.95 | $4,230.00 | $9,870.00 | |
BCBS
| Facility | $1,415.73 | $2,786.57 | $5,083.35 | |
Medcost
| Facility | $78.16 | $104.83 | $162.41 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |