| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $10,471.29 | $18,197.01 | |
BCBS
| Facility | $4,265.80 | $9,772.37 | $19,054.61 | |
Medcost
| Facility | $870.96 | $1,258.93 | $2,691.53 | |
United
| Facility | $8,709.64 | $20,417.38 | $25,703.96 |