| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,982.92 | $6,789.05 | $16,467.00 | |
BCBS
| Facility | $8,740.64 | $8,740.64 | $8,740.64 | |
Medcost
| Facility | $2,491.60 | $3,421.00 | $5,780.29 | |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |