| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $574.41 | $1,309.20 | $16,467.00 | |
BCBS
| Facility | $4,773.22 | $4,773.22 | $4,773.22 | |
Medcost
| Facility | $487.99 | $700.78 | $1,123.28 | |
Medcost
| Facility | AS | $83.25 | $100.10 | $136.19 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |