| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $4,897.79 | $6,918.31 | |
BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
Health Alliance Plan
| Facility | $489.78 | $4,786.30 | $6,918.31 | |
United
| Facility | $6,309.57 | $10,000.00 | $18,620.87 |