| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,123.57 | $7,799.00 | $22,776.00 | |
BCBS
| Facility | $7,618.48 | $16,436.81 | $27,637.40 | |
Medcost
| Facility | $842.93 | $1,244.57 | $1,817.62 | |
United
| Facility | $3,340.00 | $21,721.00 | $33,299.00 |