| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $7,943.28 | $16,595.87 | |
BCBS
| Facility | $3,715.35 | $8,912.51 | $16,595.87 | |
Medcost
| Facility | $616.60 | $870.96 | $1,905.46 | |
United
| Facility | $8,709.64 | $20,417.38 | $25,703.96 |