| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.67 | $5,793.84 | $9,727.00 | |
BCBS
| Facility | $2,568.57 | $6,763.22 | $11,977.17 | |
Medcost
| Facility | $447.09 | $2,825.37 | $4,602.56 | |
United
| Facility | $8,766.00 | $19,627.00 | $24,161.00 |