| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $441.15 | $4,933.00 | $6,853.00 | |
BCBS
| Facility | $97.90 | $97.90 | $489.52 | |
Health Alliance Plan
| Facility | $358.77 | $4,933.00 | $6,853.00 | |
United
| Facility | $10,555.00 | $18,687.00 | $25,752.00 |