| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,271.07 | $9,062.00 | $18,276.00 | |
BCBS
| Facility | $3,262.42 | $7,056.09 | $13,005.32 | |
Medcost
| Facility | $957.68 | $1,455.37 | $2,202.26 | |
United
| Facility | $3,028.00 | $19,627.00 | $25,620.00 |