| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $9,120.11 | $16,595.87 | |
BCBS
| Facility | $3,090.30 | $7,413.10 | $13,803.84 | |
Medcost
| Facility | $288.40 | $371.54 | $691.83 | |
United
| Facility | $6,309.57 | $17,378.01 | $26,302.68 |