| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $166.88 | $8,783.00 | $16,639.00 | |
BCBS
| Facility | $3,351.39 | $7,039.64 | $11,818.63 | |
Medcost
| Facility | $126.81 | $190.46 | $272.76 | |
United
| Facility | $461.00 | $3,866.00 | $7,558.00 |