| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $978.72 | $8,960.00 | $16,467.00 | |
BCBS
| Facility | $5,418.80 | $10,344.04 | $16,208.45 | |
Medcost
| Facility | $850.30 | $1,076.58 | $1,855.34 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |