| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.89 | $5,192.00 | $9,727.00 | |
BCBS
| Facility | $2,320.92 | $5,169.39 | $8,760.50 | |
Medcost
| Facility | $247.89 | $987.98 | $1,605.39 | |
United
| Facility | $5,114.00 | $12,798.00 | $19,591.00 |