| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $4,897.79 | $16,595.87 | |
BCBS
| Facility | $12,022.64 | $21,379.62 | $38,904.51 | |
Medcost
| Facility | $239.88 | $1,122.02 | $3,981.07 | |
United
| Facility | $8,709.64 | $20,892.96 | $25,703.96 |