| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $914.77 | $3,776.00 | $9,870.00 | |
BCBS
| Facility | $2,228.87 | $4,468.18 | $7,881.56 | |
Medcost
| Facility | $777.55 | $1,006.25 | $1,782.12 | |
United
| Facility | $2,764.00 | $10,147.00 | $16,816.00 |