| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,746.53 | $12,075.00 | $39,052.00 | |
BCBS
| Facility | $4,869.72 | $4,869.72 | $4,869.72 | |
Medcost
| Facility | $1,465.33 | $2,008.51 | $3,198.23 | |
Medcost
| Facility | 80 | $351.80 | $442.68 | $650.00 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |