| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,804.70 | $3,590.64 | $16,467.00 | |
BCBS
| Facility | $2,184.79 | $4,944.38 | $7,875.08 | |
Medcost
| Facility | $1,284.00 | $1,904.02 | $3,135.46 | |
United
| Facility | $5,186.00 | $12,456.00 | $22,523.00 |