| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.85 | $9,062.00 | $22,331.00 | |
BCBS
| Facility | $8,466.24 | $20,811.78 | $38,216.76 | |
Medcost
| Facility | $438.47 | $829.69 | $10,701.44 | |
United
| Facility | $3,340.00 | $21,721.00 | $33,299.00 |