| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $590.90 | $7,799.00 | $16,639.00 | |
BCBS
| Facility | $1,768.56 | $4,464.22 | $7,881.56 | |
Medcost
| Facility | $470.00 | $596.36 | $1,108.78 | |
United
| Facility | $791.00 | $10,257.00 | $16,249.00 |