| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.62 | $5,866.00 | $20,243.00 | |
BCBS
| Facility | $2,172.29 | $4,130.97 | $6,696.53 | |
Medcost
| Facility | $90.62 | $177.71 | $249.00 | |
United
| Facility | $461.00 | $3,866.00 | $6,584.00 |