| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $812.83 | $7,943.28 | $16,595.87 | |
BCBS
| Facility | $4,365.16 | $13,182.57 | $25,118.86 | |
Medcost
| Facility | $676.08 | $954.99 | $1,659.59 | |
United
| Facility | $8,709.64 | $20,417.38 | $25,703.96 |