| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $548.05 | $4,112.00 | $4,933.00 | |
BCBS
| Facility | $127.19 | $635.91 | $635.91 | |
Health Alliance Plan
| Facility | $427.89 | $4,112.00 | $4,933.00 | |
United
| Facility | $2,500.00 | $7,780.00 | $8,911.00 |