| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $7,943.28 | $16,595.87 | |
BCBS
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
Medcost
| Facility | $489.78 | $707.95 | $1,174.90 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |