| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,369.38 | $2,698.28 | $16,467.00 | |
BCBS
| Facility | $4,119.24 | $10,717.58 | $18,474.93 | |
Medcost
| Facility | $1,044.20 | $1,543.02 | $2,345.15 | |
Medcost
| Facility | AS | $174.72 | $228.90 | $264.10 |
United
| Facility | $3,028.00 | $19,627.00 | $25,620.00 |