| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $801.41 | $1,881.71 | $16,467.00 | |
BCBS
| Facility | $11,259.69 | $11,259.69 | $11,259.69 | |
Medcost
| Facility | $674.87 | $895.92 | $1,557.94 | |
United
| Facility | $2,284.00 | $6,074.00 | $8,973.00 |