| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $289.14 | $7,799.00 | $16,639.00 | |
BCBS
| Facility | $3,000.51 | $7,889.49 | $13,477.24 | |
Medcost
| Facility | $289.14 | $424.98 | $683.26 | |
United
| Facility | $2,912.00 | $16,959.00 | $23,485.00 |