| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $4,897.79 | $16,595.87 | |
BCBS
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
Medcost
| Facility | $954.99 | $1,318.26 | $2,398.83 | |
United
| Facility | $1,479.11 | $6,760.83 | $9,120.11 |