| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,317.95 | $2,650.03 | $16,467.00 | |
BCBS
| Facility | $2,363.35 | $6,295.05 | $12,579.75 | |
Medcost
| Facility | $1,004.22 | $1,526.66 | $2,296.29 | |
Medcost
| Facility | AS | $178.35 | $221.34 | $254.21 |
United
| Facility | $8,766.00 | $20,341.00 | $25,620.00 |