| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,137.96 | $9,120.11 | $16,595.87 | |
BCBS
| Facility | $9,772.37 | $9,772.37 | $9,772.37 | |
Medcost
| Facility | $1,698.24 | $2,511.89 | $4,265.80 | |
United
| Facility | $5,128.61 | $12,882.50 | $23,442.29 |