| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $847.10 | $5,107.20 | $14,644.00 | |
BCBS
| Facility | $3,111.52 | $7,707.61 | $13,640.30 | |
Medcost
| Facility | $726.09 | $974.17 | $1,636.48 | |
United
| Facility | $2,155.00 | $12,798.00 | $19,665.00 |