| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $766.11 | $9,062.00 | $18,276.00 | |
BCBS
| Facility | $4,333.22 | $8,188.34 | $16,861.61 | |
Medcost
| Facility | $685.11 | $859.34 | $1,470.23 | |
United
| Facility | $2,912.00 | $16,959.00 | $23,485.00 |