| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.80 | $715.20 | $16,467.00 | |
BCBS
| Facility | $5,758.14 | $5,758.14 | $5,758.14 | |
Medcost
| Facility | $253.44 | $346.29 | $592.51 | |
Medcost
| Facility | 80 | $59.20 | $67.09 | $97.06 |
Medcost
| Facility | AS | $41.44 | $46.96 | $67.94 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |