| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $849.93 | $9,062.00 | $17,247.00 | |
BCBS
| Facility | $3,366.55 | $7,618.81 | $12,134.72 | |
Medcost
| Facility | $683.32 | $975.66 | $1,471.76 | |
United
| Facility | $791.00 | $10,257.00 | $16,249.00 |