| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.59 | $401.52 | $16,467.00 | |
BCBS
| Facility | $3,822.53 | $3,822.53 | $3,822.53 | |
Medcost
| Facility | $156.40 | $235.25 | $348.75 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |