| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $821.69 | $1,761.06 | $16,467.00 | |
BCBS
| Facility | $8,644.33 | $8,644.33 | $8,644.33 | |
Medcost
| Facility | $648.11 | $862.83 | $1,413.04 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |