| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $9,772.37 | $22,387.21 | |
BCBS
| Facility | $4,073.80 | $14,791.08 | $28,183.83 | |
Medcost
| Facility | $831.76 | $1,202.26 | $1,905.46 | |
United
| Facility | $8,317.64 | $22,387.21 | $37,153.52 |