| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $7,943.28 | $16,595.87 | |
BCBS
| Facility | $2,818.38 | $6,025.60 | $11,220.18 | |
Medcost
| Facility | $489.78 | $707.95 | $1,230.27 | |
United
| Facility | $1,122.02 | $3,890.45 | $7,943.28 |