| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.52 | $2,877.00 | $4,933.00 | |
BCBS
| Facility | $67.33 | $210.40 | $12,824.10 | |
Health Alliance Plan
| Facility | $241.59 | $2,877.00 | $4,933.00 | |
United
| Facility | $5,200.00 | $7,855.00 | $15,078.00 |