| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.40 | $965.02 | $16,467.00 | |
BCBS
| Facility | $1,132.82 | $1,132.82 | $10,218.69 | |
Medcost
| Facility | $360.46 | $553.44 | $874.85 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |