| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.61 | $3,776.00 | $9,727.00 | |
BCBS
| Facility | $740.38 | $1,672.89 | $3,064.39 | |
Medcost
| Facility | $140.61 | $333.66 | $519.54 | |
United
| Facility | $1,106.00 | $3,866.00 | $6,584.00 |