| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.79 | $860.69 | $16,467.00 | |
BCBS
| Facility | $2,073.23 | $4,130.97 | $6,696.53 | |
Medcost
| Facility | $333.53 | $492.76 | $749.95 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |