| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,121.53 | $7,799.00 | $21,886.00 | |
BCBS
| Facility | $75,153.99 | $75,153.99 | $75,153.99 | |
Medcost
| Facility | $852.22 | $1,121.53 | $1,968.53 | |
Medcost
| Facility | AS | $129.32 | $151.90 | $208.76 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |