| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $533.16 | $1,025.42 | $16,467.00 | |
BCBS
| Facility | $10,644.38 | $10,644.38 | $10,644.38 | |
Medcost
| Facility | $407.30 | $533.16 | $896.87 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |