| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,607.03 | $5,621.00 | $9,870.00 | |
BCBS
| Facility | $3,543.00 | $7,726.16 | $13,770.43 | |
Medcost
| Facility | $1,365.98 | $1,868.00 | $3,197.47 | |
United
| Facility | $791.00 | $10,257.00 | $16,249.00 |