| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.43 | $3,776.00 | $9,727.00 | |
BCBS
| Facility | $438.81 | $933.34 | $1,581.71 | |
Medcost
| Facility | $178.71 | $688.63 | $1,104.77 | |
United
| Facility | $1,106.00 | $3,866.00 | $6,584.00 |