| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,128.61 | $16,595.87 | $38,904.51 | |
BCBS
| Facility | $4,677.35 | $4,677.35 | $17,782.79 | |
Medcost
| Facility | $1,659.59 | $2,511.89 | $4,168.69 | |
United
| Facility | $4,168.69 | $16,982.44 | $25,703.96 |