| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $9,120.11 | $16,595.87 | |
BCBS
| Facility | $2,344.23 | $4,786.30 | $9,332.54 | |
Medcost
| Facility | $363.08 | $512.86 | $812.83 | |
United
| Facility | $1,698.24 | $16,982.44 | $75,857.76 |