| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,290.87 | $9,120.11 | $53,703.18 | |
BCBS
| Facility | $2,187.76 | $5,248.07 | $9,549.93 | |
Medcost
| Facility | $891.25 | $1,288.25 | $2,290.87 | |
United
| Facility | $5,128.61 | $13,182.57 | $23,988.33 |