| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.77 | $4,933.00 | $8,361.00 | |
BCBS
| Facility | $450.52 | $525.10 | $711.43 | |
Health Alliance Plan
| Facility | $98.81 | $4,933.00 | $8,361.00 | |
United
| Facility | $5,000.00 | $10,359.00 | $12,767.00 |