| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.52 | $1,588.17 | $4,862.00 | |
Aetna
| Facility | 52 | $39.97 | $71.76 | $168.59 |
BCBS
| Facility | $668.02 | $1,479.00 | $1,479.01 | |
Medcost
| Facility | $79.93 | $148.22 | $228.80 | |
United
| Facility | $384.00 | $1,138.00 | $2,922.00 |