| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,546.63 | $9,062.00 | $18,276.00 | |
BCBS
| Facility | $3,608.58 | $9,413.49 | $16,208.45 | |
Medcost
| Facility | $1,175.63 | $1,778.62 | $2,532.76 | |
United
| Facility | $3,978.68 | $16,269.00 | $24,161.00 |