| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.79 | $7,799.00 | $16,467.00 | |
BCBS
| Facility | $3,213.64 | $7,328.03 | $12,582.34 | |
Medcost
| Facility | $144.00 | $202.79 | $372.84 | |
United
| Facility | $659.00 | $6,607.00 | $8,667.00 |