| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,353.84 | $9,062.00 | $18,276.00 | |
BCBS
| Facility | $3,097.64 | $7,056.09 | $12,933.02 | |
Medcost
| Facility | $987.13 | $1,489.22 | $2,342.69 | |
United
| Facility | $8,766.00 | $20,341.00 | $25,620.00 |