| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $9,549.93 | $79,432.82 | |
BCBS
| Facility | $12,022.64 | $37,153.52 | $79,432.82 | |
Medcost
| Facility | $478.63 | $676.08 | $1,096.48 | |
United
| Facility | $5,754.40 | $24,547.09 | $43,651.58 |