| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $908.89 | $7,182.00 | $12,847.79 | |
BCBS
| Facility | $2,339.08 | $5,895.33 | $10,114.27 | |
Medcost
| Facility | $729.67 | $999.78 | $1,643.34 | |
United
| Facility | $791.00 | $10,257.00 | $16,249.00 |