| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $794.33 | $7,943.28 | $16,595.87 | |
BCBS
| Facility | $11,748.98 | $11,748.98 | $11,748.98 | |
Medcost
| Facility | $676.08 | $954.99 | $1,659.59 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |