| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,127.26 | $5,036.72 | $16,467.00 | |
BCBS
| Facility | $9,209.42 | $9,209.42 | $9,209.42 | |
Medcost
| Facility | $1,903.53 | $2,480.58 | $4,150.68 | |
Medcost
| Facility | AS | $344.61 | $347.28 | $481.69 |
United
| Facility | $2,155.00 | $12,798.00 | $19,665.00 |